Local Affiliate Member Renewal -  2008

Thanks for your support of the East Michigan Chapter of A&WMA. 
First Name 
Last Name 
Title 
Affiliation/Company 
Industry
Government
Consultant
Lawyer
 Commercial
Non-Profit Organization
University Staff
Full-Time Student 
Other,  type:  
Address  / Opt. Addr. Info:
City/State/ZIP 
E-mail 
Phone  xxx.xxx.xxxx
Fax  xxx.xxx.xxxx
Major Interest 
 Air  Air and Waste
 Waste  Other:  
Assist with Committees
Scholarship
Science Fair
Programs
 Newsletter
Student Chapters
Membership
2009 Annual Conference & Exhibit Planning
Membership Type 
Regular, local only $15 Half Year
Student, local only $5 Half Year
International Member, # $0
Optional Tax-deductable Donation ($10 min. please)
Payment Options 
    To:  East Michigan Chapter A&WMA
           PO Box 480435
           New Haven, Michigan 48048-0435  
    Check Memo: 2008 Membership Fee
 -- OR --
    Credit Card or Direct Withdrawal
(You will get an e-mail confirmation of this payment)

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