Membership
Category (check one)
Individual ($35) Student ($15) Institutional ($120) Life ($300) Retiree ($15)
For
institutional membership, please attach as listing of up to
four persons who will be part of this membership.
Name:
Title:
Organization:
Organization
Address:
City:
State:
Zip code:
Phone:
Fax:
E-Mail:
Are
there areas of expertise you would be willing to share with
other MVAEA members? If so, please list for inclusion
in Network Directory of MVAEA membership. (Please note:
All arrangements for resource sharing - including
compensation - are the responsibility of contracting MVAEA
members.)
You
can either print out this form by clicking on File | Print
| Ok or you can click on the submit button below and send
your check to:
Sharon Luhring
Membership Services Consultant
P.O. Box 336
Madison Lake, MN 56063
507-243-4347 sluhring@hickorytech.net
