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(The Interior Taxpayers' Association, Inc.
in Fairbanks, Alaska)


ITA Membership & Renewal Form for 2016
Name (please print)______________________________________
Address _______________________________________________
City_________________________State_____Zip______________
Home Phone____________Work Phone________________
Fax Phone _____________Email______________________
Check those that apply: City Resident ( ) Borough Resident ( )
( ) I am able to help on this committee
________________________________________________

Area of interest:___________________________________

I Want:
( ) MEMBERSHIP(S) ($25 DUES) __________
( ) TO SUPPORT ITA WITH A DONATION OF __________
( ) MY EMAIL ADDED TO ITA'S EMAIL LIST (REPLACES OUR OLD HARDCOPY NEWSLETTER) HERE IS EMAIL: ___________________
(PLEASE PRINT OR TYPE). You can also sign up for the list on the home page of our website, http://InteriorTaxpayers.org Emails ("ITA Update") are sent infrequently, as the need arises. (Free)

                           TOTAL ENCLOSED __________
Signature_______________________________________________

Donations and fees are NOT tax deductible under present law.
[Print this and Mail to ITA Treasurer,
P.O. Box 71892, Fairbanks, AK 99707]

Back to Home Page. You can join online - scroll down on our home page to find PayPal link to join online.