
Instructions: Print this page, fill in the information below and mail the completed application along with your annual dues of $5.00 / year to the following address:
ASMLA
10443 High Bluff
Eagle River, AK 99577
Name:_______________________ New___ Renew ___
Address:_______________________________________
______________________________________________
City:__________________ State:_____ Zip:___________
Phone: (___) ___________ Email: ___________________
NMLRA Member? #______________________________
If not an NMLRA member, would you like to join?________