ARMCUMS 2018-2019 Membership Application

ARMCUMS Membership Application

2018-2019
Use this form if you are seeking ARMCUMS membership. Membership is open to any college or university employee responsible for or managerially associated with a college or university mail service department and who is otherwise employed by a college or university.
2018-2019 Membership Application
Individual MemberAdditional MemberInstitution (up to 3 members of the same Instution)
Credit CardPurchase Order/Check
Membership/Renewal
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2018-2019 ARMCUMS Membership - Individual$40.00

2018-2019 ARMCUMS Membership - Additional Same Institution Member$30.00

Quantity

2018-2019 Institutional Membership (up to 3 members)$100.00

Total $0.00
$100.00 (2018-2019) Institutional Membership (up to 3 members)$40.00 (2018-2019) Individual Membership$30.00 (2018-2019) 1st Additional (same institution) Membership$30.00 (2018-2019) 2nd Additional (same institution) Membership$30.00 (2018-2019) 3rd Additional (same institution) Membership
Calculation
Purchase Order #
Full Name*

First NameLast Name
Title*
Institution*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Fax Number

Area CodePhone Number
E-mail*
YesNo
Member #2 (same institution)
Member #2 Full Name

First NameLast Name
Member #2 Title
Member #1 Title
Member #2 Phone Number

Area CodePhone Number
Member #2 Fax Number

Area CodePhone Number
Member #2 E-mail
YesNo
Member #3 (same institution)
Member #3 Full Name

First NameLast Name
Member #3 Title
Member #2 Title
Member #3 Phone Number

Area CodePhone Number
Member #3 Fax Number

Area CodePhone Number
Member #3 Email
YesNo
Member #4 (same institution)
Member #4 Full Name

First NameLast Name
Member #4 Title
Member #2 Title
Member #4 Phone Number

Area CodePhone Number
Member #4 Fax Number

Area CodePhone Number
Member #4 Email
If you would like to sign up more than 4 individuals from the same Institution please submit the first 4 and fill the form out again selecting already paid to add the additional members.
Please send check to:

ARMCUMS
C/O Arizona State University
PO BOX 870810
Tempe, AZ 85287-0810
United States

Association of Rocky Mountain College & University Mail Services
Tax ID: 45-2962802 --NEW NUMBER

If you have any problems with this form, please contact Dawn Burgess @ 801-863-8797 or dawn.burgess@uvu.edu.
Please submit an updated photo of yourself.

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ARMCUMS Membership Application