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United States
Chaplains
association

Application Form

Complete the Form and send back via mail or email with form of payment

Mail- 201 S. 2nd St. Wrightsville PA. 17368

Email-Bishopstephenrambler@gmail.com

Accepted forms of Payment-
Check Payable- USCA
CashApp-$BishopRambler
Venmo- @BishopRambler
Zelle-@SteveRambler
Paypal-@ODMMLC
Online- ODMMLC.COM/GIVE

USCA NEW &RECURRING MEMBER FORM

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