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PROFESSIONAL AFFILIATIONS - DUES & SUBSCRIPTIONS REQUEST <br /> DEPARTMENT: ______— <br /> PRIORITY POSITION TITLE ORGANIZATION OR PUBLICATION REQUEST <br /> PROFESSIONAL AFFILIATIONS: <br /> • <br /> -____--_-_____ <br /> _______ TOTAL DUES <br /> SUBSCRIP IONS: <br /> —r <br /> 411 <br /> TOTAL SUBSCRIPTIONS <br /> 70TAL AMOUNT REQUESTED FOR DUES AND SUBSCRIPTIONS <br /> Form #B-8 (2/82) <br />