| GARI Membership | |
|---|---|
| Name: |   |
| Address: |                                                            |
| City: |   |
| State, Zip: |   |
| E-mail: |   |
| Telephone: |   |
| Fax: |   |
| Organization: |   |
| Select membership level | |
|---|---|
| Individual - $15: |                |
| Family - $25: |   |
| Student* - $10: |   |
| Organization - $100: |   |
| Other: |   |
| Contact me about meetings by: |
|
|---|---|
| E-mail: | |
| Regular mail: | |
| Neither: | |