| Code Enforcement League of Arizona MEMBERSHIP APPLICATION |
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Date of Application: |
Fill out the application below,
print it out, Lora Isaacs, Treasurer Make checks payable to: Code Enforcement League of Arizona |
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| Name: | Title: | ||
| Agency: | Phone: Fax: | ||
| Mailing Address: | |||
| E-mail: | |||
| Membership Fees: | $35.00 | ||
| Charter Membership for
Organization (Please list members below) |
$150.00 plus $10.00 for each employee included as a member |
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| TOTAL AMOUNT ENCLOSED: | |||
| Please list employees below if joining as a Charter Membership for an organization. | |||
