is as follows:

Annual Dues including Tektite subscription-

Individual less than 80 years of age------------------------------------$15.00

Family less than 80 years of age----------------------------------------$20.00

Individual any age--------------------------------------------------------$15.00

Family any age------------------------------------------------------------$20.00

HONOREES are those members who have reached the age of 80 before applying for membership. The date of birth must be provided. These members no longer are required to pay annual dues but must complete an annual membership renewal form each September to maintain this membership and subscribe to the Tektite. If you do not complete this form annually, you will be dropped from the membership roster. We need to know that you are still interested in being a member.

Individual membership for Honorees with Tektite ----------------------$5.00

• * * * * * * * * * * * *

Name ___________________________________________________________________

Date of birth______________________________________________________________

Spouse Name______________________________________________________________

Spouse Date of birth _______________________________________________________

Street __________________________________________________________________

City – State – Zip___________________________________________________________

Phone ______________________________ Cell phone ____________________________

E-mail ___________________________//_____________________________________

Web page ________________________________________________________________

Amount Paid $__________________

Make check payable to Convair Rockhound Association

Mail to- Phyllis Mahoney [ ] Individual membership $15.00 with form