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CTEBVI Membership Renewal

CTEBVI membership dues are for calendar year, January to December. All dues will now be applied to the 2012 membership year. Members receive the quarterly-published CTEBVI JOURNAL and the Annual Conference registration packet.

First and Last Name: Repeat Last Name:(Required)

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 registration packets will be available on this Web site only

Click below to send renewal information to Membership Chair and continue to payment page.

(9/23/2011)

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