CHAPTER DUES FORM
This is your receipt for Chapter Dues Official Chapter Business
Name_____________________________ Date Paid____________________________
I PAID:
2009 $________
Other $________
TOTAL $________
Name_____________________________ Date Paid____________________________
I PAID:
2009 $________
Other $________
TOTAL $________
For financial information contact the TREA-111 Treasurer. The $12 pays you up until Dec 31, 2009. For dues information, contact the TREA-111 Dues Chairman at:
TREA-111
P.O. Box 2955
Akron, OH 44309-2955
TREA-111
P.O. Box 2955
Akron, OH 44309-2955
This portion to be mailed to address above.
Name____________________________ Date: February 1, 2009
Regular payment of chapter dues for YR-2009 due by Mar 15, 2009:
YR-2009 $12.00 this will pay you up until Dec 31, 2009
Other Payment ______ such as YR-2010 payment.
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TOTAL ________ Make checks payable to TREA-111, mail to the Chapter Address
HARDSHIP Yes or No _________ If yes, send no payment.
For Office Use Only: Date Rec’d: ____________________ [File-tax]
M.O/Check# or Cash_______________ Dues Collector Init_______
Treasurer Init_______
M.O/Check# or Cash_______________ Dues Collector Init_______
Treasurer Init_______
Form 100-2
Click here to add text.
* Tax Exempt Information for TREA-111:
* IRS Code 501(c)(19) and EIN 34-1951997
* Dues per TREA-111 Bylaws Article IV, Section 1
* IRS Code 501(c)(19) and EIN 34-1951997
* Dues per TREA-111 Bylaws Article IV, Section 1
