Association of Rocky Mountain College & University
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MEMBERSHIP APPLICATION
ARMCUMS Membership Dues
July 1, 2009 through June 30, 2010
First member $40.00
Additional Members from the same institution $30.00
ARMCUMS Tax ID #20-4562788
Please print and mail completed application to:
ARMCUMS
DENVER CO 80221
Name: (first) _____________________ (last)
________________________________
(Please enter your name as you would like it to appear on
your certificate)
Title: ________________________________________________________________
Institution: ____________________________________________________________
Address: ______________________________________________________________
City:
Phone: ___________________________ Fax: ________________________________
Email: ________________________________________________________________
Name: (first) _____________________ (last)
________________________________
(Please enter your name as you would like it to appear on
your certificate)
Title: ________________________________________________________________
Institution: ____________________________________________________________
Address: ______________________________________________________________
City:
Phone: ___________________________ Fax: ________________________________
Email: ________________________________________________________________
Name: (first) _____________________ (last)
________________________________
(Please enter your name as you would like it to appear on
your certificate)
Title: ________________________________________________________________
Institution: ____________________________________________________________
Address: ______________________________________________________________
City:
Phone: ___________________________ Fax: ________________________________
Email: ________________________________________________________________
For additional members please
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