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American .Public Works Association <br />P.O. Box 802296 <br />Kansas City, MO 6418(1-2296 <br />ph 816-472-6100 <br />toll-free: 800-848-APWA <br />fax St6-472-1610 <br />www.apwa.net <br />Mr. Kurt Corey, PE <br />Public Works Director <br />City of Eugene <br />101 E Broadway Ste 400 <br />Eugene, OR 97401-3104 <br />Current Expiration Date: 07/31/2009 <br />Invoice Date: 05/12/2009 <br />For period 08/01/2009 <br />Ending: 07/31/2010 <br />Please detach- and return botfompartion with your remifitance. Make address changes below. <br />^ 1 have added $35 I7S per person for new <br />membership in the Public Works Historical: <br />Society for C.1 Gbeck endased <br /> <br /> <br />MAIL TQ: <br /> APWA. <br /> PO' Box 802296 <br />(Name of perso»(s) to which membership should Kansas City, MO <br />be assigned) 64f 80-2296 <br />Please send invoices for future renewal of <br />this PWHS :membership to: <br />~.Aforemerttioned individual(s) <br />d Key contact person for my group <br />membership <br />Renewal Invoice <br />iD No. Description Amount <br />354 A Agency (10) <br />Agency Membership Base Fee - $US 1,808.00 <br />Agency Additional Members- $US 2,168.64 <br />Total 3, 976.64 <br />^ Credit Card U Visa- ~ MasterCard. G American Express <br />Account number Gard Expires:{MMIYYYY} <br />Name as if appears;on card Signature' <br />Send receipf via: U Mail ^ E-mai(to: <br />MAIL 70: APWA, 2345 Grand 81vd., Suite 700, Kansas:City, M0 64108-2625' <br />dR FAX T0: 8t6-595-5374 or 81'6-472-1.905 <br />4R ONLINE: www:apwa.net/MembershiplMemberRenewal.a~p <br />To change your address, a-mai-, or other member' information, calf 1-800-848=APWA ts:oo a:rro.-a;so p.m, cr), <br />e-mai/ membership@apwa.net,. or visit troww.apwa,net/MembersUnly/MemberToo/sl. <br />i. , , rrkiF=, ru r~fie~ts fora[ chapter rnetriersh Je__ _i ;~ tft3;~5 ~u~t b~ paid in ~~~d~: ~_~; r°~~aintar~ q ~x°~s€~ ~~c,: ~~E~ii~ €~ A. <br />ID No. _ Type Of Membership Description Amount <br />354 A Agency (10) <br />Mr. Kurt Corey, PE <br />Public Works Director <br />City of Eugene <br />101 E Broadway Ste 400 <br />Eugene, OR 97401-3104 <br />Agency Membership Base <br />Fee - $US <br />Agency Additional Members - <br />$US <br />Total <br />1, 808.00 ( ] ,// <br />2,168.64 I ] <br />3, 976.64 <br />.American Publirc Works Association <br />P o. Sox Soz296 <br />Kansas City, MO 64180-2296 <br />