Dear Membership Chairman:

Please enroll me as a member of the American Statistical Association, Albany Chapter. Enclosed is $ 5.00 to cover my dues for the year beginning October 1, 1997.

Name ____________________________________________________________

Title _____________________________________________________________

Employer _________________________________________________________

Office or Unit _____________________________________________________

Address __________________________________________________________

__________________________________________________________________

Daytime Phone ____________________________________________________

Are you a member of the National Association of A. S. A. ? ________________

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