
MEMBERSHIP
APPLICATION
2006 / 2007
Name:
___________________________________________________________________
Address:
_________________________________________________________________
Phone / Fax / E-Mail:
________________________________________________________
Dues Structure (circle one): 20.00/Person
$50.00/Corporate (4 named people)
Signature:
________________________________________________________________
Payment (circle one):
Cash
Check

MEMBERSHIP RECEIPT
2006 / 2007
Name:
___________________________________________________________________
Address:
_________________________________________________________________
Phone / Fax / E-Mail:
_______________________________________________________
Dues Structure (circle one): $20.00/Person
$50.00/Corporate (4 named people)
Signature:
________________________________________________________________
Payment (circle one):
Cash
Check
TAUG OFFICIAL Signature:
______________________________ Date: _______________