Membership Application
Membership runs from July 2008 - June 2009
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Membership Dues:
__ $25 Member
__ $50 Sponsor
__ $100 Patron
__ $250 Partner
__ $15 Class of 2006/2007
__ Free Class of 2008 |
Special donation to send Washington State teachers to MIT’s Science and Engineering Program for Teachers:
$_________________
Each year we sponsor five regional school teachers to MIT's Science and Engineering Program for Teachers. To learn more about this program visit our web site at:
http://mit-club.org/WebContent/teachers.aspx |
Total Enclosed: $_______________
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| Name: |
_____________________________________________ |
| Class (year): |
_____________ Department: _________________ |
| Address: |
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_____________________________________________ |
| Telephone: |
_________________ Email: ___________________ |
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For more information visit our web site at http://mit-club.org.
Sign up online with a credit card at: http://mit-club.org/WebContent/join.aspx. |
Send your check to:
MIT Club of Puget Sound
9212 SE 46th St
Mercer Island, WA 98040 | |
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