Membership Renewal Application National Association of Purchasing Management Rochester ISM District

Document Sample
Membership Renewal Application National Association of Purchasing Management Rochester ISM District Powered By Docstoc
					                               Membership Renewal Application
                  National Association of Purchasing Management - Rochester
                               ISM District / Affiliate Code 08/530
                              www.napmr.org info@napmr.org

Associate Dues: (NAPMR membership only)          Method of Payment:

    o     Are you a CPSM?                        o   Check / Money Order Payable to NAPM Rochester
                                                 o   Credit Card
    o     Are you a C.P.M.
                                                        o Master Card
                                                        o Visa
Name:
                                                        o Amex
Title:
                                                 Card #

                                                 CVV Code: ________(Last 3 digits of # on back of card)
Company:
                                                 Amount:            $99.00
Address:
                                                 Name on Card:
City/State/Zip:
                                                 Exp. Date:
Phone:
                                                 Signature:
Fax:

                                                 Billing Address:
Home Address:
                                                 Address:
City/State/Zip:
                                                 City/State/Zip:
Phone:

E-Mail:
                                                 Return Application to:

                                                 NAPM Rochester
Education:                                       PO Box 13
                                                 Pittsford, NY 14534
    o     Student
    o     High School                                     Or
    o     AAS
    o     BS/BA
    o     MS/MA
                                                 E-mail to:         info@napmr.org

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:4
posted:9/23/2012
language:English
pages:1