New Membership/Renewal Form
2008-2009

Join Now by Signing Up for the Fall 2008 PRIMA Conference!

The PRIMA fiscal year is July 1 to June 30. Institutional and individual memberships are available. Make checks payable to "PRIMA."

Mail a copy of this completed form and your payment to:

Monica Pace, PRIMA Treasurer
Tri-County Community College
4600 Hwy. 64, E.
Murphy, NC 28906
(828) 835-4255
mpace@tccc.cc.nc.us

Institutional membership (three members): $50

Individual membership: $20

College:__________________________________________________________________
Name:___________________________________________________________________
Mailing address:___________________________________________________________ _________________________________________________________________________
Title:____________________________________________________________________
Phone: _________________________________ Fax:__________________________
E-mail:___________________________________________________________________
􀂅 Renewal 􀂅 New Member

Name:___________________________________________________________________
Title:____________________________________________________________________
Phone: _________________________________ Fax:__________________________
E-mail:___________________________________________________________________
􀂅 Renewal 􀂅 New Member

Name:___________________________________________________________________
Title:____________________________________________________________________
Phone: _________________________________ Fax:__________________________
E-mail:___________________________________________________________________
􀂅 Renewal 􀂅 New Member