Membership Application

(To print this Membership Application using YOUR printer,
Press the RIGHT button on your mouse and then use the LEFT button to click on PRINT.)

Member's Information

Address ______________________________________________________

City __________________________________________________________

State ___________________________________

Zip Code ________________________________

E-Mail Address _________________________________________

Phone (optional) ______________________________________________

Spouse (optional) _________________________________________________

Dues enclosed - ($30) _______

All checks or money orders must be: drawn on a U.S. Bank made payable to POINT in U.S. Dollars

Mail application and payment to: POINT Membership Application Box 82309, Dept. PHP Las Vegas, NV 89180-2309

Application updated 19 October 2012