2007 PHTS MEMBERSHIP RENEWAL APPLICATION
Name: 
____________________________________________________________
Company: ____________________________________________________________
Position: ____________________________________________________________
Mailing Address: ____________________________________________________________
____________________________________________________________
Phone Number: (Voice)_______________________(Fax)___________________________
E-Mail Address: ____________________________________________________________
Dues are $30.00 per year per member.
Fax or e-mail (payment due at the next meeting) or mail to one of the PHTS officers.
