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2012 RENEWAL AND MEMBERSHIP APPLICATION FORM



Date: *Email:
*Name: Company:
Job Title: Department:
Address:
City: State: Zip:
Business Phone: Cell Phone:
I am a 
I am using the Funding Initiative for my membership dues.

Please check any committees you are interested in for 2012 and the committee chair will contact you.

Additional information on the different committees --> Committee Information

2012 Conference Membership
Award Nomination Mentoring
Clothing Drive Officer Elections
Communication Programming
Community Outreach Record Management
Energy Affairs Scholarship
Finance Special Events
Holiday Social Ways & Means
Hospitality Women's History





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