Sustaining Membership Application Form

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Society of Broadcast Engineers, Chapter 105

4602 Shatner Drive Houston, Texas 77066
Phone 281-580-3580 Fax 281-580-5651 Email danstan@worldnet.att.net

Sustaining Membership Application

Sustaining Membership Application
Renewal

Type of Membership

Name of Company	Area Code & Phone Number
Mailing Address	City, State, Zip
Website	Email Address
Company Representative	Phone Number/Extension

Supporting members are published in the Chapter 105 Newsletter. Please send a copy of
your business card and/or company logo as we will reproduce business cards or company
logos for the sustaining members. You will be contacted for payment arrangements.

Thanks for your support!

Danney Stanley
Membership Chairman