SOCIETY MEMBERSHIP FORM
Revised: Monday, October 27, 2008 (Corrected payment information)
Dues Schedule
Society
annual dues are to be paid by January 31st. Please refer to the list
below for number of members per society for the amount to be paid.
Please
enclose a Membership List with postal & email addresses so your members can
receive communications and membership cards. (Please update as needed
throughout the year.) Also please include the name of the contact person for
your Society.
|
Number of Members |
Society Dues |
|
1 - 10 |
$15.00 |
|
11 - 25 |
$25.00 |
|
26 - 40 |
$35.00 |
|
41 - 55 |
$45.00 |
|
56 - 70 |
$55.00 |
|
71 - 85 |
$60.00 |
|
86 - 100 |
$70.00 |
|
101 - 125 |
$80.00 |
|
126 - 150 |
$90.00 |
Submission Instructions
- Print this form.
- Fill in all blanks.
- Mail this form and a check
for the membership fee, made payable to "
- If you have questions, please contact Mary Pitch - Registrar.
The
Form
---------------------------------------------------------------------------------------------------------------------------------------------
Date: _____________________________
APPLICATION FOR SOCIETY MEMBERSHIP WITH MONTANA STATE
(Memberships run
from January 1st though December 31st Annually)
Dues are as noted
in accordance with membership list.
Society: _______________________________________________________
Street Address: ________________________________________________
City:
Contact Person: _____________________________
Phone Number: ( ____ ) ______________________
E-Mail: ___________________________________
Number of Members: __________
Check Amount: __________ Check Number: ___________
