Name
__________________________________________________
Title
__________________________________________________
Phone
_________________________________________________
Email
__________________________________________________
Address_________________________________________________
__________________________________________________
Membership
Student
$20.00
_____
$10.00
_____ Amount Enclosed _________
Mail to:
Tera Miller, NDSU Extension Service, Dept
of HNES, Dept 7270 PO Box 6050, Fargo, ND
58108-6050
