Application for Membership

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?________

 

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