The National Blacksmith and Weldors
Association
Membership Application
Please use
your printer to print out this page, complete the information, and mail the
completed form together with a check for $40 payable to the NBWA, to:
Terry
Rodman, P.O. Box 339, Jasper, MN 56144.
| Name: ___________________________________________________ |
| Street Address: __________________________________________ |
| City: ___________________________ |
| State: _____________________ Zip: ___________ |
| Home Phone: ________________ Work Phone: _______________ |
| Wife's Name: _____________________________________________ |
| Aplicant's Signature: _____________________________________ |
| E-mail: __________________________________________________ |
| Fax: ________________________________ |
| Business Name: __________________________________________ |
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