MEMBERSHIP APPLICATION

New Member______Renewing_________

NAME:_______________________________________________

Company_____________________

ADDRESS:___________________________________________

CITY:_______________________________________

STATE ________________

ZIP CODE_________________________

PHONE(_____)_________________________

E-MAIL___________________________

 Members  Name ______________________________________

                  Name____________________________________________

                  Name____________________________________________                          

                  Name____________________________________________

                        Membership for 2008

     Dues for first member                                       $40.00

     Dues for each member from that Company    $30.00

 Print this page and Mail to.

             Randy Smith  ,P.O. Box 786  ,  Bell Fl. 32619    Phone 386-935-3042