RAS GIFT MEMBERSHIP APPLICATION

Note: Information provided will not be shared or utilized for any other purpose
other than what is implied here.

Giver's Data:

Gift is from:	(for salutation on card)

Name:
Street:
City:	State: Zip:

Home Phone:
Email Address:

Send package to:	Giver's address or Member's address

Occasion:	for the Card

Any message you would like on the card (2 lines, each 40 characters)

You will be contacted by our membership director shortly.
A bill will be sent to the above address for the dues.
Note that renew rates and new member rates may be different.

New Member's Data:

Name
Street:
City:	State: Zip:

Home Phone
	Check here and the phone will not appear in pubished member list
Type of Membership:
Email

Member's Experience:	Beginner Intermediate Expert

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