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Arraerican Public Works Association <br /> - • Renewal Invoice <br /> P.O. Box 802296 <br /> Kansas City, MO 64180-2296 ID No. Description Amount <br /> ph 816-472-6100 354 A Agency (10) <br /> fax 816-472-1610 <br /> www.apwa.net <br /> Agency Membership Base Fee - $US 1,664.00 <br /> Agency Additional-Members --$US - - 1,456.00 <br /> PW Historical Society (PWHS) Membership 35.00 <br /> Total <br /> 3,155.00 <br /> Mr. Kurt Corey, PE <br /> Public Works Director <br /> City of Eugene <br /> 858 Pearl St Ste 400 <br /> Eugene, OR 97401-2727 Invoice Date: 05/09/2006 <br /> <br /> Current Expiration Date: 07/31/2006 For period beginning:. 08/01/2006 <br /> Ending: 07/31 /2007 <br /> Please detach and return bottom portion with your remittance. Make address changes below. <br /> Payment of invoice provides full benefits of membership in the American Public Works Association. <br /> ? Check enclosed for $ Payment Breakdown <br /> To insure proper processing include ID No. on your check. <br /> O National Dues $ <br /> ? Charge $ to my: <br /> O VISA O Master Card <br /> O Cha ter Dues (if listed above) $ <br /> p <br /> a«ount No. Exp. Date O Please sign me up for membership in the Public Works <br /> Historical Society (PWHS) for $35 US/each. <br /> (If joining as a group, please note to which individual the <br /> membershi should a pl <br /> p P Y <br /> Print name as it appears on card <br /> Signature <br /> Call 1-800-848-APWA or a-mail at membership@apwa.net to change your member records. ta:oo a.m: a:3o p.m. cry <br /> NOTE: Credit card payments should be faxed to (816) 472-1905 or via telephone at 1-800-848-APWA. <br /> Canadian members, when paying by credit card, dues are charged in U.S. dollars and may be subject to the exchange rate at time when payment is processed. <br /> if your invoice reflects local chapter membership dues, these dues must be paid in order to maintain your membership in APWA. <br /> ID No. Type Of Membership Description Amount a <br /> 354 A Agency (10) Agency Membership Base 1,664.00 [ ~'J <br /> Fee - $US g + <br /> Mr. Kurt Corey, PE Agency Additional Members - ~;q,~.;g8~ [ ) <br /> Public Works Director $US ~ ~'ac`'~" <br /> -City of Eugene PW Historical Society ~ [ <br /> 858 Pearl St Ste 400 (PWHS) Membership <br /> Eugene, OR 97401-2727 Total t3 <br /> 1-55-6p~ <br /> Send payment to: <br /> American Public Works Association <br /> P.O. Box 802296 <br /> Kansas City, MO 64180-2296 <br /> Credit Card orders may be faxed to: (816) 472-1905 <br /> _ _ <br /> <br />