ࡱ> ?A>} l!bjbj55 4&__ ggg{{{{<{bZt<      $/"F.9g @"b  .mgXXX 8gX XXOX1m`V{X}0Xu"*.u"Xu"gX  X     ..X       u"          :   Membership Form M Yes! I want to be a member of NEAPG.* I understand that the annual dues are $20 (effective January-December) and will be billed at a later date. Name:  FORMTEXT       Business Name:  FORMTEXT       Address:  FORMTEXT       City/State/Zip:  FORMTEXT       Phone (with area code):  FORMTEXT       Cell Phone (with area code):  FORMTEXT       Fax (with area code):  FORMTEXT       Email address:  FORMTEXT       Website URL:  FORMTEXT       Please check one of the following:  FORMCHECKBOX  Include this information on the chapter website.  FORMCHECKBOX  Do NOT include this information on the chapter website. Additional information I prefer the following meeting time:  FORM&(*,P \ b d x z | ʷkUI8 jh'B*OJQJUphh$PtB*OJQJph+jh'B*OJQJUmHnHphu&jh'B*OJQJUphh'B*OJQJph jh'B*OJQJUphhKuB*OJQJphhKuhKuB*OJQJph%hKuhKuB*CJOJQJaJph hKuhKuhKuhj!CJ8aJ8hKuhKuCJ8aJ8 h1hx!jh6FcUmHnHuh,,(,P R  n 0    x^gd$Pt x^gdKu x^gdKu ^gdKu $^a$gdKugdKugd0gd           : < θάnθ_N?h*:yh*:yB*OJQJph!hKuhKuB*OJPJQJphhKuh$PtB*OJQJph&jh'B*OJQJUphh$PtB*OJQJphh$Pth$PtB*OJQJphhKuhKuB*OJQJphhKuB*OJQJph+jh'B*OJQJUmHnHphu jh'B*OJQJUph&jrh'B*OJQJUphh'B*OJQJph< > @ T V X b d f h l    ❎nbbVVhB*OJQJphhKuB*OJQJph&jh'B*OJQJUphh$PtB*OJQJphhKuhKuB*OJQJphhKuh*:yB*OJQJph+jh'B*OJQJUmHnHphu&jlh'B*OJQJUphh'B*OJQJph jh'B*OJQJUphh*:yB*OJQJph   ( * 6 X ^ ` t v x   ۹ۡ~oۡ[۹oۡG&jh'B*OJQJUph&jfh'B*OJQJUphhKuhKuB*OJQJphh$PthKuB*OJQJph&jh'B*OJQJUphh'B*OJQJphhB*OJQJphh$PtB*OJQJph+jh'B*OJQJUmHnHphu jh'B*OJQJUph&jnh'B*OJQJUph      Z \ ^ z | ~   " t v x ʾ~rʒ^rʾM hKuhKu>*B*OJQJph&jh'B*OJQJUphhQ*B*OJQJph&jRh'B*OJQJUph jhB*OJQJUphhKuhB*OJQJphhB*OJQJphhKuB*OJQJphhKuhKuB*OJQJph+jh'B*OJQJUmHnHphu jh'B*OJQJUph \ v x (*fp $ 8h ^a$gdKu h ^gdKu$ h a$gdS$ h ^a$gdS h gdS h ^gdS$d,^a$gd |~$&˼u_K_&jh'B*OJQJUph+jh'B*OJQJUmHnHphu&jh'B*OJQJUph&j:h'B*OJQJUphUh'B*OJQJph jh'B*OJQJUphhKuhKuB*OJQJphhB*OJQJphhQ*B*OJQJphhSB*OJQJph hhKu>*B*OJQJphDROPDOWN  I am interested in the following program topics:  FORMTEXT       I recommend the following meeting locations:  FORMTEXT       Return your completed form to Diane Florence Gravel, President New England Chapter, APG HYPERLINK "mailto:dianegravel@roadrunner.com"dianegravel@roadrunner.com *Only APG members are eligible to join NEAPG. To join APG, visit the website at www.apgen.org. 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