Please print out form directly off page or save to a file to print later:

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

ITA Membership & Renewal Form for 2007Name (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). Emails ("ITA Interior Alert") 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]

Please print out form directly off page or save to a file to print later:

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

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