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Get Transfer Request - Pa Pack

And Dog Tag Number MODD Life Member Number MCL Membership Number MCL Life Member Number Last Degree Advancement Date (MMYY): Original MODD Entry Date (MMYY): I hereby request that my membership in Pound Number transferred to Pound Number Name Name of of Pack be Pack. Signature Losing Pound Endorsement The above ( regular / life ) member is ( in good standing / delinquent ) in the above Pound. This member ( is not / is ) indebted to this Pound. The transfer of this member is ( approved.

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