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MEMBERSHIP
MAIL FORM
|
UWA
Membership
Please print, fill out and mail this form
with a check or money order to:
c/o Dimitri @ Radius Engineering
1042 West 2780 South
Salt Lake City, Utah 84119
| Yes! I'm interested in joining! | Sign me up for the following (please check): | |
| Date______________ | ||
| Name __________________________ | ____ UWA Membership $10 | |
| Address _________________________ | ||
| City_____________________________ | ||
| State _____ Zip __________________ | ||
| Phone __________(h)__________(cell) | ||
| E-mail address ____________________ |
Total enclosed: $_____ Please call me; I'd like to help out. My area of interest is: __________________________
__________________________________________________________________________________________________