____ Federal ____ State _____ Local (Identify) ________________________________
Type of Membership: ____ New ____ Renewal Membership Number #:_________________
Name of Chapter: Greater Memphis Area
____Regular Member ____ Associate Member ____ Life Member
National membership dues are 35.00 for regular members and 25.00 for associate members. Chapter dues are established by each Chapter and are payable in addition to National dues. The local dues for the Greater Memphis Chapter are $12. Eligibility for chapter membership is contignet upon national Membership. Life membership fee is 300.00.*
----------------------------------------------------------------------------------------------------------------------------------------- CHANGE OF ADDRESS FORM
Name _____________________________________________________________________
Old Address ____________________________________________________________________
