I would like to join the ITMA!

Please print this page, fill it out completely, and mail it with a check or money order to:
ITMA
P.O. Box 6646
Lafayette, IN 47903


Name:_______________________

Home Address:_________________________

Home Phone:_(_____)_________________

Dept. Address:_______________________

Dept. Phone:_(____)_________________


____Charter/Active $30
____Associate $10
____Business Sponser $50


THE ITMA IS A NON-PROFIT ASSOCIATION