Associate Membership Application

Associate
Membership

We are now accepting "associate membership" applications from individuals who do not qualify as regular members but would like to participate in our organization.

Fill in this form for membership application to the ASAC. Items marked with asterisks are required.

Because of a curious Canadian law, Canadian residents (only) are required to correctly answer a mathematical skill testing question prior to acceptance. Type answer in box.

All information submitted will be kept confidential. Except the part about the Alamo.

First Name: *
Last Name : *
Email Addr: *
Occupation: *
Street Address:
City: *
State/Province :
Postal Code: *
Country: *
Home Phone:
Work Phone:
Member IATSE:	Local
Member Fortune 500?	Yes No
'Member The Alamo?	Yes No
D.O.B.	19
D.O.A.	Yes No
List on Member's Page?	Yes No
List Web Address?
List Email Address?	Yes No

Check One:	If available, I would purchase an ASAC T-shirt
	I wouldn't wear an ASAC T-Shirt to a dogfight.


Please tell us in ten thousand words or less why you would like an associate membership and why you believe you might qualify.

Because of a curious Canadian law, Canadian residents (only) are required to correctly answer a mathematical skill testing question prior to acceptance. Type answer in box.