AMAHA Membership Application
Mail to:
AMAHA TREASURER/NEWSLETTER EDITOR
Shannon Tostanoski
1026 Mt. Gilead Church Rd.
Pittsboro, NC 27312
Non-Credit Card PayPal Payments can be accepted at amaha@sylvantrails.com
|
AMAHA Membership Application Mail to: |
| Today's Date: | ____________________________ | Date of Birth: | ____________________________ |
| Name: | ____________________________ | Phone number: | ____________________________ |
| Address: | ____________________________ | Best time to call: | ____________________________ |
| City: | ____________________________ | email (if applicable): | ____________________________ |
| State & Zip: | ____________________________ | web site (if applicable): | ____________________________ |
Check one: New Member:____________ or Renewal:______________
How did you hear about the AMAHA? ___________________________________________
OPTIONAL: Tell us a little about yourself as an introduction to be
printed in the next newsletter. 500 words maximum. Include a seperate sheet of paper with your introduction.
AMAHA Membership: Enclose check or money order for $13.00 _____
OVERSEAS/CANADA: $20 overseas in U.S. dollars. Canada $15 in U.S. dollars.
PAYMENT:Personal check, postal money order, cashier's or banker's check.
*Please make payable to Shannon Tostanoski, NOT AMAHA. Thank you. :)
FOR OFFICE USE ONLY
|
Recieved on________________________ Amount Paid________________________ Check #___________________________ Deposited on_______________________ |
Entered in DHR membership list____________ Officers notified________________________ First issue_____________________________ Expiration date_________________________ |