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| *Entrance fee for new members or members renewing after a lapse in membership is $10.00 |
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| Name of Firm, Agency, College |
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| Is this address a business or residence? |
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| Phone Numbers |
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Res.( )
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Cell ( ) Fax ( ) |
| E-mail |
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Lahontan Chapter (Reno/Carson Area)
$40 Regular Member
$20 Non-Licensed Member
Southern Nevada Chapter (Las Vegas Area)
$40 Regular Member
$20 Non-Licensed Member
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