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What was the total expense? [enter value] __________
How much of the total amount was spent this month? [enter value] ________
Since the first of the reference month, have you or any members of your CU ....
Paid any single admissions to spectator sporting events such as football, baseball, hockey, or soccer?
What was the total expense? [enter value] ________
How much of the total amount was spent this month? [enter value] ________
Since the first of the reference month, have you or any members of your CU ....
Paid any single admissions to entertainment activities such as movies, plays, operas, or concerts?
What was the total expense? [enter value] ________
How much of the total amount was spent this month? [enter value] ________
Since the first of the reference month, have you or any members of your CU ....
Bought any books, including paperbacks, which were not purchased through a book club? Do not include reference books or school books.
What was the total expense? [enter value] ________
How much of the total amount was spent this month? [enter value] ________
Since the first of the reference month, have you or any members of your CU ....
Bought any magazines not included in a subscription?
What was the total expense? [enter value] ________
How much of the total amount was spent this month? [enter value] ________
Since the first of the reference month, have you or any members of your CU ....
Purchased single copies of newspapers (non-subscription)?
What was the total expense? [enter value] ________
How much of the total amount was spent this month? [enter value] ________
Since the first of the reference month, have you or any members of your CU ....
Purchased CDs, audio tapes, or records other than through a mail-order club?
What was the total expense? [enter value] ________
How much of the total amount was spent this month? [enter value] ________
Since the first the reference month, have you or any members of your CU ....
Purchased any photographic film?
What was the total expense? [enter value] ________
How much of the total amount was spent this month? [enter value] ________
Since the first the reference month, have you or any members of your CU ....
Paid for film processing?
What was the total expense? [enter value] ________
How much of the total amount was spent this month? [enter value] ________
Since the first the reference month, have you or any members of your CU ....
Purchased any video tapes or DVDs other than through a mail-order club?
What was the total expense? [enter value] ________
How much of the total amount was spent this month? [enter value] ________
Since the first the reference month, have you or any members of your CU ....
Rented any video tapes or DVDs?
What was the total expense? [enter value] ________
How much of the total amount was spent this month? [enter value] ________
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Last Modified Date: November 29, 2005