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TPMIA Dues Form
You may
download
this form. It is in MS Word format. Open it in Word, fill it in by
computer then print it (or print it blank and fill it in by hand), then send it,
along with your check to our treasurer at the mailing address shown in the lower
right of the form.
 |
The Tennessee Plumbing & Mechanical Inspectors
Association
Membership Renewal Application
|
| Date: |
Name of Organization: |
|
Number
|
Active Member
|
Dues
|
Number
|
Associate Member
|
Dues
|
Number
|
Other Members
|
Dues
|
| |
Individual
|
$20.00
|
|
Professional
|
$50.00
|
|
Student
|
10.00
|
| |
Jurisdictional
|
50.00
|
|
Organizational
|
100.00
|
|
Subscription
|
25.00
|
| |
|
|
|
|
|
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Retired
|
15.00
|
|
Totals:
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From July 1, 2008 to June 30,2009
|
| Make Check payable to: Treasurer of
TPMIA |
| Mail to: |
| TPMIA Treasurer |
| 318 Crestwood Drive |
| Tullahoma, TN 37388 |
|
| NAME
(All Members): (use reverse side if necessary)
POSITION / TITLE: |
|
