| Your Name |
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| Your Address |
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| City, State, Zip |
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| Fax Number |
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| Your Email Address |
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| Company Website |
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| Cell Phone Number |
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| Type of membership (for descriptions of each membership, go to the Membership tab and click on Member Benefits and Types of Membership) |
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| Please note: Memberships are based on a calendar year and expire on December 31st. Membership fees may be
prorated monthly. Please indicate the month the membership will begin and the prorated membership fee.
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| Membership Start Date |
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| Membership Cost |
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What interests you? AAF Madison offers a wealth of opportunities to get involved. Please indicate the categories in
which you have interest and/or expertise. Mark as many as you would like. No obligation! |
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| How did you hear about AAF Madison? |
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| Payment Method (*) |
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If you are paying by check, please print and complete this form and include it with your check to: AAF Madison, P.O. Box 1149, Madison, WI 53701
Please note: Dues paid to AAF Madison may not be deducted as charitable contribution for federal tax purposes.
Thank you for your membership! |
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