Membership
Application, 2008
Name:_______________________________________________________________________________
Title:________________________________________________________________________________
Business Affiliation:____________________________________________________________________
Business
Address:_____________________________________________________________________
_____________________________________________________________________
Telephone:_______________________________Fax
Number:__________________________________
E-mail
address:________________________________________________________________________
Annual Dues (check one):
$25……….Active member (
Renewal ________ $25……….Associate
member ______
New membership ________ $12.50…....Student
member ______
$250……...Corporate
sponsor ______
Please make checks
payable to:
1424 Highway 6
West,