T.A.S.A. Membership Form

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Yearly Membership Prices. Put a check mark in the type of membership you desire. . Individual. $15.00 yr . Family. $20.00 yr. Business Prices . Bronze. $50.00 yr.
T.A.S.A. Membership Mail-in Form DATE:_______________________________________

Yearly Membership Prices Put a check mark in the type of membership you desire. . .

Individual Family

$15.00 yr $20.00 yr

Business Prices . . . .

Bronze Silver Gold Platinum

$50.00 yr $100.00 yr $200.00 yr $300.00 yr

Dues Received After March 1st will be applied to the following season. Please provide contact information below

Family or Individual Please provide your: Name:___________________________________________________ Address:_________________________________________________ City:_____________________________________________________ State:____________________________________________________ Zip Code:_________________________________________________ Phone Number:____________________________________________ DO YOU WANT TO RECEIVE A MEMBERSHIP CARD: ____YES ____NO (If you want a membership card, local member cards may be picked up at the TASA barn. We will mail cards to those who live out of the area if you check the YES box. Whether you are a local member or out of town member, if you do not check a box, no card will be issued. This does not apply to commercial members.)

Businesses Please provide your: Business Name:__________________________________________ Address:________________________________________________ City:____________________________________________________ State:___________________________________________________ Zip Code:________________________________________________ Phone Number:___________________________________________ Write Check or Money Orders to T.A.S.A. and mail to:

T.A.S.A. PO Box 305 Newberry, MI 49868 Please Note; Your dues are non-deductible as a charitable contribution.