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Activity Card
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Billing Options
Complete one separate form for each person making a purchase. Allow 10 business days for processing. Cards and receipt will be mailed to address below. Members wishing to sign up for monthly bank drafts must register at the Member Services. Have questions? Call (479) 855-8000 Option 2.
Member ID
*
Member Name
*
First
Last
Member's Mailing Address
*
Street Address
Address Line 2
City
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ZIP Code
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Upload Photo If New Card
If this is not a renewal please upload photo
Accepted file types: jpg, gif, png, Max. file size: 1 MB.
Activity Card
Price:
Good for 12 months from date of purchase, the POA Activity Card allows Members to use facilities and amenities at the reduced
Member rate
. Additionally, Photo ID holders get discounts at POA dining establishments.
Total
$0.00
Billing Name
*
First
Last
Billing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Credit Card
*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
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2033
2034
2035
2036
2037
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2039
2040
2041
Expiration Date
Security Code
Cardholder Name
Phone
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