ATSCC  MEMBERSHIP  APPLICATION
(Print out this page and fill in the blanks)
(Membership year runs from April to April.)

Name:

Address:

City:                                                State:                                    Zip:

Home Phone:

Work Phone:

E-Mail:

In which ATSCC activities are you most interested?

Mail completed application with your check for $25 ($35 for couples), made out to ATSCC  to:

                                   

                                     Carol Evans, ATSCC Treasurer
                                     2800 Ridge Valley Road
                                     Atlanta,  GA  30327