Zip + 4 ________________
Area Code/Telephone _________________________
Is this a new membership? Y _____ N _____
Membership year is from January 1 to January 1. You will be receiving a membership card.
In order to receive your quarterlies, we MUST have your entire nine-digit zip code as it is now required for bulk mailing by the U.S. Postal Service. Please notify us of any change of address as soon as possible! Current international postage will be billed if appropriate.
Remit by check payable to: