Dues Form for ETHOS Membership |
| Name: |
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| Address: |
|
| E-mail address: |
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Dues enclosed (check please): |
|
__ $10 (student)
__ $10 (living in a developing nation)
__ $60 (regular membership) |
| Mail checks payable to ETHOS and send to: |
|
Dean Still
80574 Hazelton Road
Cottage Grove, OR 97424 USA |