ALACOG MEMBERSHIP FORM

Please select one:

________Yes, We want to become a Corporate member of ALACOG.

________Yes, I want to become an Individual member of ALACOG.

Corporate member: $100 per year

Individual member: $25 a year

Your membership is tax deductible using ALACOG's 501c3 Tax ID#: 63-1250851

Amount enclosed $____________________

Make check out to ALACOG and mail with this form to:

ALACOG,
Department of Journalism,
University of Alabama, Box 870172,
Tuscaloosa, AL 35487

or

________Please bill me

Name and address of company/individual:


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CONTACT: Ed Mullins, ALACOG Co-Chair, Department of Journalism, University of Alabama, Tuscaloosa, AL 35487, Phone: 205-348-7155 mullins@jn.ua.edu.

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