ALTOS Membership Form - Ctrl+P to Print
Please print a copy of this Application Form and snail mail it to:
Gary Hackman (ALTOS)
1112 Old Plain Dealing Road
Benton, LA 71006
Make check payable to ALTOS.
All Are Welcome!
ALTOS Membership Application Form
Name_______________________________________________Date________________
Street_________________________________________________________________
City_______________________State______________________ZIP_____________
Telephone (_____)______-_____________Fax (_____)______-_____________
E-Mail_____________________________________________________________
( ) New Member ( ) Renewal ( ) Address Change
( ) Individual $ 10.00 ( ) *Family $15.00 ( ) Donation $_______
* Please add the names of the other family members on the back of this form.
Two votes.
I understand that membership fees are due no later than September 30, annually.
I understand that I am entitled ALTOS information publications, ALTOS voting rights,
and a $2 registration fee reduction to ALTOS meets for an individual and each member
of a family.
Signature of Member or Family Leader_____________________________________