MEMBERSHIP APPLICATION 

                                            S.T.E.T.A.
                  SUNCOAST TURF EQUIPMENT TECHNICIANS ASSOCIATION
                                   102 Ciltadella Dr., North Venice, Fl. 34275

                 Membership Renewal and Application
                                  Annual Dues For January 2009 - December 2009
                                              
PLEASE CHECK PROPER CLASSIFICATION
    
EQUIPMENT MANAGER           $35.00    ASSISTANT TECHNICIAN     $35.00
  O
    EQUIPMENT TECHNICIAN       $35.00   O   CORPORATE SUPPLIER        $65.00 

    
NEW MEMBER                                           EXSISTING MEMBER
 
   Club / Company                                                                                                                                    

   Name                                                                                                                                                     
                                         LAST                                                    FIRST                                                      MIDDLE
   Work Phone  (      )                                             Fax  (      )                                                                   

   Home Phone  (      )                                             Mobile  (      )                                                            

    E-mail address                                                                                                                                       

    Title / Position                                                                                                                                         

                                        Work / Membership Roster                          Mailing Address

   Street                                                                                                                                                       

   City                                                                                                                                                            

   State / Zip                                                                                                                                                  
 
                DATE                                          CHECK #                               AMOUNT $                              
                                                                                                                                                                        
                                                                                                                                                                        
                                                                         RETAIN LOWER PORTION FOR YOUR RECORDS
                                 S.T.E.T.A.
           
SUNCOAST TURF EQUIPMENT TECHNICIANS ASSOCIATION
                                    102 Ciltadella Dr., North Venice, Fl. 34275

           DATE                                   CHECK #                          AMOUNT $                    
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