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TOUR GUIDES ASSOCIATION OF GREATER NEW ORLEANS INSURANCE FORM for 2008

This will cover the period of January 2008 to December 2008

Insurance due date: 1/1/08        Amount due $80.00

You may send one check for $140.00; $60.00 for dues and $80.00 for insurance.

 
NAME:  ____________________________________________________________

 

I DO ______, DO NOT ______ WANT INSURANCE COVERAGE.  (Please return this form with your membership application or renewal indicating whether or not you want insurance.)
ADDRESS: _________________________________________________________
CITY, STATE, ZIP: __________________________________________________
HOME PHONE: ____________________  CELL PHONE: _________________
EMAIL: ___________________________________________________________