DUES TRANSMITTAL AUTHORIZATION
 TO
NORTH DAKOTA TOWNSHIP OFFICERS ASSOCIATION

 

We______________________________________Township of________________________________County

do hereby authorize payment of our dues to the North Dakota Township Officers Association to be withheld from Township Tax Revenues as they are available after January 1st of each year.

Dues shall be made payable to the North Dakota Township Officers Association (NDTOA) and forwarded to its Treasurer:

North Dakota Township Officers Ass'n
Barb Knutson - Treasurer
2600 236th St. NE
Mckenzie, ND 58572

or to any other treasurer of the North Dakota Township Officers Association as so notified by the Association or the Township.  This authorization shall be effective for the current calendar year and each subsequent year until cancelled by the Association or the above named Township.

Dues shall be $_____________ for the current calendar year and each subsequent year unless notified by the Association or the Township.

Chairman

_______________________________________________________

Clerk

_______________________________________________________

Supervisor

________________________________________________________

 

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