Name: Please record the following information for me. My $10 is

Print Form
DUES
Please pay your dues by September 30, 2014. The annual fee is $10.
Dues and member information forms will be collected at the September 4th meeting. If you
cannot attend the meeting, please send your check and information form to:
Marilyn Scharinger, Treasurer
3330 Pinewood Dr. Sheboygan, WI 53083
Please extend your courtesy to the Treasurer and Secretary by paying your dues on time.
Their jobs are easier if they can process everyone's updates at one time.
A drawing for an incentive grant will be held at the Holiday Dinner. Only the names of members
who have paid their dues by September 30th will be included in the drawing. Don't miss out on
this opportunity to earn for learning!
Please record the following information for me. My $10 is attached.
Name:
Street:
City, State, Zip:
Phone:
e_mail:
Would you like to be included in the incentive drawing?
You will not be included in the drawing if you do not answer.
Any comments or suggestions for meetings can be entered below.