Membership Application ⇽ Full Member - Specialist

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		Unit Price	Total
Total %
Full Member - Specialist This is a 12-month membership - Membership expires Jul 14th Prorated Price This membership is for individuals only This membership is for members of: Full time Private Practice (R4848,82) Acacia Branch (R704,03) Paying the PPBU Levy (R2615,74)	R 0

・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)

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・8 characters minimum
・one upper case letter
・one lower case letter
・one number
・one special character (@$!%*?&)

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Please make sure this password matches the password above

If you input more than 0 characters your New Password may not display properly