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Updated on: 11/07/2008

MEMBERSHIP/DUES FORM 2008-2009

Chapter Year: $60.00    Students: $10.00     Life Members: N.C.
Membership will be good from September 2008-Sept 2009.

- ROSTER INFORMATION -
Name:
Spouse:
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Business Address:
City:
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Phone:
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E-mail:
Society Membership Number:

Society Grade:

Presidential
Life
Fellow
Member
Associate
Affliliate
Student

Indicate First, Second and Third Choice for Committee Assignment:
First Choice:
Second Choice:
Third Choice:
If 'Other' Please specify:

MAILING INFORMATION:

Please Fill out completely
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Total Enclosed $:

Make checks payable to: Southern California Chapter, ASHRAE
P.O.Box 80133
San Marino, CA 91118