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website: http://www.aisdc.org |
MEMBERSHIP DUES AND SUBSCRIPTIONS
(please “X” one block each column when submitting form):
( ) Individual Membership - $15.00 ( ) NEW
( ) Family Membership - $20.00 ( ) RENEWAL (due January 1
each year)
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Individual Associate Membership/ ( ) CHANGE OF ADDRESS/UPDATE
Newsletter Subscriptions - $17.00
INFORMATION
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SELECT ONE OPTION
BELOW (Note: Newsletter will be mailed until email system
online.) |
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( ) SEND MY NEWSLETTER ELECTRONICALLY (E-Mail) ( ) MAIL MY NEWSLETTER |
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( )
Enclosed is $ General Fund $
Pow Wow Fund
$ Scholarship Fund $
Building Fund
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NAME: Member #1 or Subscriber |
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NAME: Member #2 (Family) |
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Children (Fill out if family membership) |
Names Year of Birth
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ADDRESS |
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PHONE |
Home: Cell: Office: Fax: |
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EMAIL |
@ @ |
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Tribal Affiliation (if any) |
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Organizational Affliliation(s) (if any) |
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