Member Update

The annual dues for Pi Chapter are $10.00. Lifetime dues are $100.00
Please mail you Pi Chapter dues by December 31st.
Remember that you will be removed from the active member list if you have not paid annual dues for two consecutive years.

Please print out this form and mail with your check made payable to Beta Phi Mu, Pi Chapter, to:

            Beta Phi Mu, Pi Chapter
            c/o Barbara Zaborowski
            1131 Menoher Blvd
            Johnstown, PA  15905

Position: ___________________________________________________

Office Address: ______________________________________________

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Office Telephone: _____________________________________________

Home Address: ______________________________________________

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Home Telephone: _____________________________________________

E-mail: _____________________________________________________

If this is a new name or address, please indicate your previous name or address below:

Amount: _______