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Written by Administrator
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Tuesday, 27 June 2006 |
NEW YORK USITT REGISTRATION FORM *Please print
NAME | ADDRESS | HOME PHONE NUMBER | CELL PHONE NUMBER | FAX NUMBER | E MAIL ADDRESS | WEB SITE ADDRESS | Are you a member of the National USITT? Yes. No. Member # |
REGISTRATION LEVEL Circle One Individual Memberships | Corporate Membership | STUDENT | $10 | | | INDIVIDUAL | $25 | | | PROFESSIONAL | $50 | | | JOINT PROFESSIONAL | $75 | NOT FOR PROFIT | $75 | SUSTAINING | $100 | SUSTAINING | $150 | CONTRIBUTING | $200 | CONTRIBUTING | $300 | FOUNDER | $500 | FOUNDER | $1000 | | | | |
Make check payable to USITT NYAS | Mail to: USITT NY Area Section
PO Box 1016Peck Slip StationNew York, NY10272-1016 |
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Last Updated ( Monday, 16 April 2007 )
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