Membership

Print and mail to:
Sue Owens ’83
2587 Cottington Cir. NW
N Canton, OH 44720

Enclosed are my 2009 chapter dues at $20 per family. Make check payable to:

Akron-Canton Penn State Chapter.

Name_______________________________________

Class Year___________

Home Address________________________________

City_________________State_____Zip_________

Home Phone: (___)_____________

Work Phone: (___)_____________

E-mail Address_________________________