Membership Application

Last Name
First Name
Mailing Address:
Street
City      State   Zip Code
Telephone Fax   Beeper 
e-Mail Web Site
County or Company 

County or Company Address:
Street
City    State    Zip Code 

Present Position:  
Professional Designations 

Type Application:
Tax Commissioner   Based on County Population - Contact Sylvia Hawkins for amount.
Tax Commissioner Staff   Membership Fee $ 75.00
Business Associate  Membership Fee $ 200.00

Directory:

I am interested in a directory listing.   Yes No
I am interested in a listing on the chapter web site.  Yes No

Committees:

Now is your chance to get involved!  An organization like G.A.T.O. is only as good as it's members' willingness to participate.  We need help of all interested persons  so the Association can continue to expand and offer new services to our members.  If you are interested in serving on a committee, indicate your preference below:

Membership
Annual Conference
Web Site
Public Relations
Newsletter
Public Service
Other  (specify)

Comments: