Dues Invoice Year ____________ Department Name: _________________________________________________________ Contact Name: ____________________________________________________________ Department Address: _________________________________________________________________________ _________________________________________________________________________ Email Address: ____________________________________________________________ Check One and Enclose this Invoice with Dues: _____ Department Membership $ 30.00 ( Includes are department personnel) _____ Individual Membership $ 10.00 ( Includes only one person) _____ Corporate Membershipe $ 15.00 (Business and Associations)