Name__________________________________________ Phone_______________________
Street_________________________________________________________________
Town____________________________________ State_______________
ZIP_____________
Membership Renewal Date _________________________
(Please be sure your membership extends to the date of the show you are
ordering. If not, you must renew.)
Membership Dues –see below
(include dues and membership form with order if expiring) $ _______________
TOTAL ENCLOSED $_________
Don’t forget the self addressed stamped envelope!