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Conference Page
To Annual Conference Information

 

 

CTEBVI Membership Application

and Donation Form

CTEBVI membership dues are for calendar year, January to December. Any dues received after October 1, 2011 will be applied to 2012. Members receive the quarterly-published CTEBVI JOURNAL and the Annual Conference registration packet.


If you are updating/changing your information, please indicate former information so we may maintain continuity of your membership.

First and Last Name:     Last Name:(Necessary for all transactions)

Company Name:

Current Mailing Address:

Former Name and/or Mailing Address:

City:     State/Province:  
Country if other than US:

Zip Code or Routing Code:

Telephone:     E-mail:

We try to plan the conference workshops around the professions of our members. Please indicate your primary area of interest:


Other (Please briefly describe)

The CTEBVI JOURNAL is printed quarterly. Please select format:

**Conference 2012 registration packet will be available on this Web site only

Thank you in advance for your a donation. Please choose one or more of the following funds:

Click below to send report to Membership Chair and continue on to payment page for both membership and donations.

(9/23/2011)



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