Mail to:
Dave Adkisson
601 Marcus Drive
Lewisville, Texas 75057
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Mail to: Dave Adkisson 601 Marcus Drive Lewisville, Texas 75057 |
Membership Application / Renewal Form |
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| Name______________________________________________________________________________________ |
| Address____________________________________________________________________________________ |
| City_________________________________State______________________Zipcode______________________ |
| Phone________________________________E-Mail Address_________________________________________ |
| Work Phone________________________________ Cell Phone_____________________________________ |
Dues are $20 per year per individual (pro-rated to $10 after December), and $5 per year for each additional family member in the same household. Membership runs from July 1 to June 30. Attach this form with your check and mail it in. (Make check payable to the person shown above. Please Write In Memo Area Of Check "LAARK dues")
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| Upgrades During The Last Year:________________________________________________________________ |
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| ____________________________________________________________________________________________ |
| List Certifications Earned Since Last Year:________________________________________________________ |
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