APPLICATION FOR MEMBERSHIP


The undersigned hereby makes application for membership, and encloses a payment of the current year's dues appropriate for the category indicated:

Individual $20.00

Family $30.00

Institutional $40.00

Contributing $50.00

Life $300.00

(Name)____________________________________

Occupation_________________________________

Address____________________________________

City ______________________ State _________ Zip Code ____________

Phone_______________________________

E-mail_______________________________

Please mail to the President, William D. Reeves, 5801 St. Charles Avenue, New Orleans, Louisiana 70115.