Membership F

Applying is easy!

1) Fill out the form below.
2) Submit online and pay your membership dues at the next meeting.
-- OR -- Print and mail your application and membership dues to:
AWC/TC Membership
PO Box 131022
Roseville, MN 55113

Payment Information:
Regular Member $85
Student Member $30

Please make check payable to AWCTC.
We will process your membership upon receipt of payment.

PERSONAL CONTACT INFORMATION
First Name:
Last Name:
Home Address:
City:
State:
Zip:
Home Phone:

BUSINESS CONTACT INFORMATION
Company:
Title:
Business Address:
City:
State:
Zip:
Business Phone:
Fax:
Email:

MEMBERSHIP INFORMATION
New or Renewing Member?	New Renewing
Would you be interested in serving on any of these comittees?	Communications Conference Membership Programs Steering Publications
Additional Comments:

Please direct all membership inquiries to: membership@awctc.org
For site inquires, or if you are having problems submitting this form, please contact webteam@awctc.org.