Memberships run from January to December of each year. All members are billed in January for the
coming year. Memberships that initiate during the year are billed as follows:
Select your Dues Option below
Check the Dues Option based on the date of submittal - Dues
are charged per person
Dues Option
Date Dues Submitted
Amt Paid
Paid Through
- 1
January
$40
$40
= Paid through Dec 2006
- 2
February
$40
$40 =
Paid through Dec 2006
- 3
March
$40
$40 =
Paid through Dec 2006
- 4
April
$40
$40 =
Paid through Dec 2006
- 5
May
$40
$40 =
Paid through Dec 2006
- 6
June
$40
$40 =
Paid through Dec 2006
- 7
July
$60
$60 = Paid through Dec 2007
- 8
August
$60
$60 = Paid through Dec 2007
- 9
September
$60
$60 = Paid through Dec 2007
- 10
October
$50
$50 = Paid through Dec 2007
- 11
November
$50
$50 = Paid through Dec 2007
- 12
December
$50
$50 =
Paid through Dec 2007
First Name
Last Name
Address
Address
City/ST/ZIP
Home Phone
Work Phone
Employer Name
Address 1
Address 2
City/ST/ZIP
Please print this form out, fill it in,remit dues
payment and return to:
Pueblo TECHNOLOGY Alliance
c/o LCC
215 S. Victoria
Pueblo, CO 81003
