APS Affiliate 96

Membership Application

Complete the following form, then print the entire page and send it with your dues (or printout the following membership.pdf). Send membership dues together with name, address, telephone number, and email address, and if available, APS number to:

    Socorico
    Attn: Dave Carter
    215 So. Western Ave
    Butte, MT 59701-8713
    or email to dcarter@mtech.edu
    Make PayPal payments to the following account : socorico@mail.com

Name Street
City State or Province
Country Zip or Postal Code
Telephone Number Email Address
APS # (if available)
$15) Membership with all the privileges/rights and electronic subscription of The Oxcart. ($16.07 by payPal).
$25) Membership with all the privileges/rights, electronic & printed Oxcart delivered to members in Central America & USA. ($26.55 by payPal)
$30) Membership with all the privileges/rights, electronic & printed Oxcart delivered to members in Europe and Canada. ($31.80 by payPal).
I am a life member of Socorico and I still want The Oxcart delivered by mail. (Check this box if you want to switch to the electronic version copy in pdf format delivered by email.)

Copyright SOCORICO (www.socoricp.org) - 2017 - All Rights Reserved. Contact Larry Fillion if you have questions or problems with the web site.