LSASHI

Lone Star ASHI Membership application

Please fill out the following information.

Thank you for joining Lone Star ASHI.

Craig Lemmon President

Please return to:

Jim Dickey

1912 University Business Drive

Suite 405

McKinney, TX 75071

Office 972-907-0202

Lone Star ASHI Chapter Application Form
Name
Company Name
Address
City
State
Zip Code
Work Phone Number
Fax Number
Email Address
Web site Address
ASHI Membership #
TREC License type
TREC Inspector #

The following information is requested for private communication needs and the information will not be published.
Home phone number:

I wish to join Lone Star ASHI. I have read the chapter bylaws and agree to abide by them.

This membership will be through June 31^st 2011. Dues for next year will be due July 1^st 2011. Dues for this year are $150.00

You must be a member of ASHI National to be a member of Lone Star ASHI

Signed ________________________