Date ____/____/____
Name(First, MI, Last)
_________________________________________
Company:
_________________________________________
Address:
_________________________________________
City: __________________ ST: ____ Zip: ________
Phone:
(_____) _____________________
Meeting announcements go via E-mail. Please provide e-mail address:
__________________@______________________
Your Signature:
__________________________________________
RETURN with check for $12. to:
DFWUUG, Treasurer
P.O.Box 702626
Dallas, TX 75370
