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MEMBERSHIP APPLICATION

General Information: (* = required field)
Name: Last*
First*
Job Title:
Company:*
Street Address
/P.O. Box*
City *
State*
Zip*
Phone:
Fax:
Email:*
Company
product/service:

Membership Information:
Prime Contractor to Government Agency
Agency:
  DOD
  NASA
  DOE
  DOT
  Other
Commercial Company
Not for Profit
Other:
Annual Dues: $150.00
Make check payable to: ASDP, Inc.
Non-Profit Status 501(c)(3) Tax #20-0065647
Send by U.S. Postal Service to: P.O. BOX 782049, Orlando, FL 32878-2049

Please be sure to reference your name somewhere on the check. You may want the invoice number to be your first initial and last name.


Click this button to pay on-line with a credit card or a debit card.

If you have problems using the on-line payment method, please call Peb Elliott (321-622-5041) who owns and operates Graphic Mac Design Service. It is a certified small disadvantaged, woman-owned, veteran and service-disabled veteran-owned business (www.graphic-mac.com) that supports the ASDP website.
 


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ASDP does not endorse any particular event or verify the accuracy of any information provided in the associated links.