GNSO REGISTRARS CONSTITUENCY
			  MEMBERSHIP DUES INVOICE



	DATE:


	INVOICE TO:





	FOR: GNSO Registrars Constituency Membership Dues


	AMOUNT: $750.00 USD


	To make your payment by check:

	Mailing Contact:  
	Donna McGehee
	BulkRegister, LLC
	10 East Baltimore St., 10th floor
	Baltimore, MD 21202
	dmcgehee@bulkregister.com 
	1-410-735-3561
	FAX:  1-410-735-3417

	To make your payment by Wire Transfer:

	Bank Contact for Wires: 
	Wire transfer details will be sent to you.
	If you have not received them contact:

	dmcgehee@bulkregister.com OR rconnell@psi-japan.com