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MEMBERSHIP APPLICATION

Date:
Name:
Email Address:
Home Address:
City:                                                      State:                  ZIP:
Home phone:
Firm:
Business Address:
City:                                                      State:                  ZIP:
Business Phone:
SEND MAIL TO (CIRCLE ONE):              HOME             OFFICE

Dues must accompany application.

DUES:       $40.00/year       $25.00/year for students      
Applicant's Signature:
Mail to:
Transportation Association of Milwaukee Inc.
P.O. Box 154
Hales Corners, WI 53130-0154