POLITICAL DISTRICT MEMBERSHIP APPLICATION 2021

POLITICAL DISTRICT MEMBERSHIP APPLICATION

Membership Fee: $350.00

Membership in CASE is open to all Political Districts in the Central Texas Area that provide utility and/or park and recreational services to their residents.
District Name
District Address
City
State
Zip
**Please include complete address, email and phone number*
#1 Board Member/Member's Name
Email
example@example.com
Phone
Board Member Since: Month/Year
#2 Board Member/Member's Name
Email:
Phone
Board Member Since: Month/Year
#3 Board Member/Member's Name
Email
Phone
Board Member Since: Month/Year
#4 Board Member/Member's Name
Email
Phone
Board Member Since: Month/Year
#5 Board Member/Member's Name
Email
example@example.com
Phone
Board Member Since: Month/Year
#6 Board Member/Member's Name
Email
example@example.com
Phone
Board Member Since: Month/Year
Do you need an invoice sent? Preferred method?

Email Mail No invoice
TOPIC/SPEAKER SUGGESTION FOR 2021
Would you attend our June 2021 Conference in person or virtual?
If we pushed our conference to August 5-7 2021, would you attend in person or virtual?
Suggestion Box:
Should be Empty:

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