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American Public Works Association <br />®_. <br />P.O. Box 802296 <br />Kansas City, MO 64180-2296 ID No. Description <br />ph 816-472-6100 <br />tol!-free 800-848-APWA 354 A Agency (10) <br />fax 816-472-1610 <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 />Renewal Invoice <br />Amount <br />Agency Membership Base Fee - $US 1,808.00 <br />Agency Additional Members - $US 2,168.64 <br />Total 3,976.64 <br />Please detach and return bottom portion with your remittance. Make address changes below. <br />O I have added $35 US per person for new <br />membership in the Public Works Historical <br />Society for <br />(Name oFpersonrs) to which membership should <br />be assigned) <br />Please send invoices for future renewal of <br />this PWHS membership to: <br />D Aforementioned individuals} <br />^ Key contact person for my group <br />membership <br />U Check enclosed <br />MAIL T0: <br />APWA <br />PO Box 802296 <br />Kansas City, MO <br />6418D-2296 <br />U CredR Card <br />Attount number <br />G Visa ^ MasterCard ^ American Express <br />Name as it appears on card <br />Invoice Date: 05112!2009 <br />For period 08/01/2009 <br />Ending: 0 713 112 01 0 <br />Signature <br />-I---- <br />Card Expires (MMIYYYY) <br />Send receipt via: ^ Mail ^ E-mail to: <br />MAIL T0: APWA, 2345 GrandBlvd., Suite 700, Kansas City, MO641 0 8-2 6 2 5 <br />OR.FAX TOi876-595-5374 or 816=472-1905 <br />OR ONLINE: www:apwa.net/Membership/MemberRenewai.asp <br />To change your address, a-mail, or other member information, call 1-800-848-APWA (a:oo a:m.-aso p.m. ab <br />e-mat! membership~apwa.ne~ or visit www.apwa.net/MembersOnly/MemberToolsl. <br />If your invoice reflects local "chapter membership dues, these dues must be paid ih order to maintain your membership. in APWA. <br />ID No.. Type Of Membership <br />354 A Agency(10) <br />Mr. Kurt Corey, PE <br />Public Works Director <br />City of Eugene <br />101 E Broadway Ste 400 <br />Eugene, OR 97401-3104 <br />Description <br />Agency Membership Base <br />Fee-$US <br />Agency Additional Members - <br />$US <br />Total <br />Amount <br />1,808.00 I 1 (/ <br />2,168.64 I 1 <br />3,976.64 <br />.American Public Works Association <br />Po. aoxao2296 <br />Kansas City, MO 64180-2296 <br />