2007 Membership Application / Renewal download pdf

Date: ________

Please indicate what type of membership:

____ Individual ($20)

____ Couple ($35)

____ Family ($45)

____ Corporate ($500)*

____ Renewal    ____New Application

Please tell us your name(s):
__________________________________________________

__________________________________________________


Phone:
______________________________
E-mail(s)*:
______________________________

______________________________

Would you be interested in getting involved with Alaska State Society? (i.e. as a Board Member or Officer)________________________

*Membership is valid for one year after application is received
**Corporate membership entitles all employes to membership
***We usually send e-mails notifying members of upcoming events, which will also be posted on the website.

To apply for membership:
Please print this page, complete the form, and mail with your check or money order payable to "Alaska State Society" to: Alaska State Society, ATTN: Treasurer, PO Box 1715, Washington, DC 20013.

Questions? E-mail us at alaskastatesociety@yahoo.com.

The Alaska State Society is a member of the National Conference of State Societies, and as such is a tax-exempt non-profit organization. However dues are not tax-deductible as the Society is a social organization under IRS rules. Taxpayer ID# 52-0216454.