To join the Pacific Northwest Chapter, send dues to:

Pam Spickelmier                              Dues:  $25.00 U.S. or $28.00 Canadian
PNC/MLA Treasurer
3766 S. Rush Creek Place
Boise, ID 83712

MAKE CHECK PAYABLE TO:  PNC/MLA

Your Name:____________________________________

Address:  _____________________________________

_____________________________________________

_____________________________________________
      (You may use home or work address)

Email:  _____________________________

Circle one:  Renewal    New Member