Membership Dues: Texas Chapter (ARSC)

Name: ________________________________________________________________________________

Street Address:_________________________________________________________________________

City: _________________________________________ State: _________________ Zip: _____________

Phone: _____________________ Fax: _________________________ E-mail(optional): ______________

Print, Fill Out, and Mail completed registration form and payment to:

Richard Neavel
2905 Scenic Drive
Austin, TX 78703

Regular Membership: $10

* Extended Membership: $20

* includes postpaid videotapes