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New Member form (you can use this form to update your current file by only input the information that you want to change)

Please provide the following contact information:

Name
Job/Company
Street address
City
State/Province
Zip/Postal code
Country
Work Phone
Portalbe Phone
FAX
E-mail
URL  

        Home:  Spouse:   Children:
                   Telephone:
                    Address:  

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  Thanks, Please provide your picture by mail or email

Last revised: December 11, 1998