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PADD
(Professional Association of Database Developers)
Membership Application

__________________________________________________________________________________
          Schedule of Charges                |   Amount Included in Check
_____________________________________________|____________________________________
PADD Membership ($60 for 12 months)          |
                                             |
_____ New Member                             |
                                             |
_____ Extend Current Membership by 12 months |
_____________________________________________|____________________________________
                                             |
                      Total Check Amount     |
_____________________________________________|____________________________________

Make Check payable to PADD. Mail with this application to:
       PADD
       c/o Bruce Denmark, Treasurer
       1199 Park Avenue
       New York, NY 10128-1730

        Name:_____________________________________________________________________

Home Address:_____________________________________________________________________ 

        City:_____________________State:_____ ZIP:___________Tel:_________________

Company Name:_____________________________________________________________________

     Address:_____________________________________________________________________

        City:_____________________State:______ZIP:___________Tel:_________________

Email Address:____________________________________ Type:______________

 Send Mail To: (Check one)    Company:____      Home: ____
______________________________________________________________________________

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