I WOULD LIKE TO BE A MEMBER OF THE CLEC STEWARDS GROUP

Question Title

* 1. Complete all 3 in the box provided
Name:         Address:          Phone Number:

Question Title

* 2. Email:

Question Title

* 3. Type of membership

Question Title

* 4. How do you intend to pay your annual membership dues?

Question Title

* 5. I could be part of a task, advisory, or event team.

Question Title

* 6. I have previous non-profit experience

Question Title

* 7. Skills, interests, background:

Question Title

* 8. I would consider being on the CLEC Stewards Group Board.

T