TASSD MEMBERSHIP APPLICATION
MrMrsMs
First Name Last Name Middle Initial Address City State Alabama Alaska Arizona Arkansas California Colorado Conneticutt Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maryland Massachusetts Michigan Minnesota Mississippi Missouri Maine Montana Nebraska New Hampshire New Jersey North Carolina North Dakota New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennesee Texas Utah Vermont Virginia Washington D.C. Washington West Virginia Wisconsin Wyoming Quebec, Canada Ontario, Canada Zip Code E-Mail Address Comments (please keep brief - 200 words or less)
Address
City
State Alabama Alaska Arizona Arkansas California Colorado Conneticutt Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maryland Massachusetts Michigan Minnesota Mississippi Missouri Maine Montana Nebraska New Hampshire New Jersey North Carolina North Dakota New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennesee Texas Utah Vermont Virginia Washington D.C. Washington West Virginia Wisconsin Wyoming Quebec, Canada Ontario, Canada Zip Code
E-Mail Address
Comments (please keep brief - 200 words or less)
Unfortunately we haven't been set up to actually collect Dues online, so you have to Snail Mail us a Check Please make check in the amount of $7.00 payable to TASSD, and mail to: Bettie Lawrence Membership Chairman 14048 Fontana Rd. Roanoke, TX 76262-4596 If you have any questions, call Bettie at (817) 491-9697 After you have completed the information requested above, click the Send Registration button to send your application to the Membership Chairman.
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