Northeastern Association of Two-Year Colleges, Inc.
             Individual Membership Form


Name _______________________________________________________________________ (Last) (First) (M.I.)
Institution _______________________________________________________________ Address ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Dept. ________________________________ Title ______________________________
Home Address _______________________________________________________________ _______________________________________________________________ _______________________________________________________________
Please send mail to (please check): _____ Institution _____ Home
Work Phone __________________________ Home Phone __________________________ Email _______________________________ Fax _________________________________
My membership is enclosed for (please check):
_____ $25 Annual _____ $45 Two Years _____ $100 Five Years _____ $10 Retired _____ $300 Life

The amount enclosed is $__________ Date _______________

Please make checks payable to NATYC, Inc. and return to:
  Wilbert Donnay, CPA, Treasurer  
  Accounting Department  
  Borough of Manhattan Community College  
  199 Chambers Street  
  New York, NY  10007  
  E-mail: jwilbert@optonline.net  
If you would like to serve on any of the committees listed below, please circle the item(s) of
interest of contact Donald Resse, Vice President, at dreese@uscny.edu.
Association Committees
Regional Committees
Annual Conference
Awards New York City Location
     
Resolutions Long Island Proposals/Papers*
     
Publications Mid-Hudson  
    * If you have a proposal for a paper to present at a future Annual Conference, please contact Gus Petrides at cgp@dellmail.com or (201) 666-4199.
Programs Capitol District
   
Membership and Dues Central
   
Constitution and By-Laws North Country
   
Nominations Genessee Valley
   
Budget and Planning Western
   
  South Central

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