NEW YORK STATE ASSOCIATION OF CITY AND VILLAGE CLERKS
2008 - 2009 Dues Notice
and
Membership Application
(October 1, 2008 - September 30, 2009)
| YEARLY DUES: |
|
$50.00 |
| Donation to Municipal Clerk Education Fund: |
$________ |
| Total: |
|
$________ |
I, Bonnie J. Page, do hereby certify that the items of the account are true and correct; that no Federal or State taxes for which the municipality is exempt are included; and that no part of the same has been previously paid. I can be reached at 518/548-7354.
Bonnie J. Page
| MAKE CHECKS PAYABLE TO: |
NYS Association of City and Village Clerks |
|
| RETURN TO: |
NYSACVC |
|
P. O. Box 64 |
|
Speculator, New York 12164 |
________________________________________________________________
MEMBERSHIP INFORMATION |
| |
|
Please print clearly or type for accurate listing in the Directory |
| |
|
| Name of Municipality: |
_______________________________ |
| Address of Municipality: |
_______________________________ |
| |
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______________________________________________________________ |
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| Your Name: |
_______________________________ |
| Your Title: |
_______________________________ |
| Telephone Number: |
_______________________________ |
| Fax Number: |
_______________________________ |
| E-Mail Address: |
_______________________________ |
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| Please circle any certifications attained: CMC MMC RMC |
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