IASL -- Membership Application Form

Inventors Association of St. Louis

Date

MEMBERSHIP APPLICATION FORM Home Address:
Name

Street

City, State, Zip

Business Address:
Name

Street

City, State, Zip

Home Phone	Business Phone
Email	Website URL
Organizations, Corporations, and Patrons are Welcome to contribute. Gifts are tax deductible to the extent allowed by law.
Become A Valued Member - Dues ONLY $55 ( ) 12 Month Membership Renewal $35 ( )	My Donation of $___________ to help out, enclosed. ( )
Come Join Us - Network with Inventors and those who can help inventors at our IASL meetings.
Please make check payable to: Inventors Association of St. Louis	Total Amount of check $_________

And Mail with this form (or at least the above Information) to:

               Inventors Association of St. Louis
               PO Box 410111
               St. Louis, MO   63141

Thank you for joining the IASL inventors group where 100% of your dues is returned in inventor services.
No money is used for operational salaries. By your contribution, you and we grow in inventive knowledge.