NASCOE Dues Transmittal 2005-06

 

State ______________________ Transmittal No. ____________   ( Please indicate if this is final)

 

1. Number of CO permanent employees this quarter     __________
2. Number of CO NASCOE members                               __________
3. Number of GS county employees                              __________
4. Number of GS NASCOE members                               __________
5. Members paid in full, CO                                          __________
6. Members paid in full, GS                                           __________
7. Members on dues check off, CO – July – Sept.                __________  GS ________

        Oct. – Dec.            __________  GS ________

        Jan. – March            __________  GS ________

        April – June               __________  GS ________

 

8.    Percentage of CO membership, item 2 ÷ 1     ______________%

9.    Amount of this transmittal, check off         $ _____________

10.  Amount of this transmittal, paid in full      $ _____________

11.  Total this transmittal                         $ _____________

12.  Previous transmittal totals                     $ _____________

 

Associate Members Dues $20.00 per member

 

1.   Total number of Associate Members            _____________

2.   Associate dues this transmittal                         $ _____________

3.   Previous associate transmittal amount            $ _____________ 

 

For associate members to receive NASCOE newsletter, their names and addresses must also be submitted.

 

Submitted by_________________________________  Date _____________________

 

Address      __________________________________

 

            __________________________________

 

Phone      __________________________________

 

Enter email address to send verification of receipt of dues ­­­­­­­­­­­­­­­­­­­­­­­­____________________________

 

Remarks:_________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Note: NASCOE dues years begin in July.  For all members that pay in full, please submit the total $40.00 on the transmittal.  For dues check off, at least $10.00 per quarter should be transmitted for a total of $40.00 per year.  Please send NASCOE Treasurer your transmittal within 10 days following the end of each quarter. The amount received by June 1 will be amount used to calculate assistance to delegates for National convention.  The GS members will be added to your percentage calculation.

 

Received by ______________________________,  _________________________

            NASCOE Treasurer                          Date

            P O Box  112

            De Witt, AR  72042