New Member
Renewal
Update
Note:
Online Membership is for members who wish to use Pay Pal.
Check-senders should print this page and mail along with their dues to
Robin Martin
CITE-NY
P.O. Box 3452
New York, NY 10008
Our vendor number is 0000162790
Title
Mr.
Mrs.
Ms.
Dr.
Your Name
Job Title
Department
Company
Address
City
State
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WI
WV
WY
Zip Code
NCSD
Phone
Fax
Email
Alternate Email
Would you prefer a CITE-NY Membership:
card
certificate
Please list any activity you would like
CITE-NY
to do in 2007:
If you have any specific talents or resources dedicated to the following areas, please advise:
Finance
Career Education & Development
Community Action
Program
Publicity & Publication
Membership
Membership Dues
Payment options are as follows: One year -
$35
, two years -
$65
, and three years -
$95
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