Membership
Students $25
Individual ($50)
Company (10 or less) $100
Corporate (11 or more) $150
Name:
Address:
City:
State:
Zip:
Phone: (optional)
Personal Email: (optional)
Company Name:
Company Address:
City:
State:
Zip:
Business Phone:
Business E-Mail:
Names of Employees (10 or less)
Email:
Names of Employees (11 or More)
Email:
Send Check to:
South Shore Ad Club
1069 West Washington St
Hanson, MA 02341
