Georgia Association of Zoning Administrators (GAZA)

APPLICATION FOR MEMBERSHIP CALENDAR YEAR 2017

 

Name: ________________________________________________________________

Title: _________________________________________________________________

Organization: __________________________________________________________

Mailing Address: _______________________________________________________

City: _____________________________   

State: _____________   

Zip: _______________

Phone: _____________   

Fax: _______________

Email: ________________________________________________________________

 

I belong to the additional organizations in the building, planning, and zoning fields:

______________________________________________________________________

______________________________________________________________________

 

New Membership: ________  

Renewal: _______________

I would like to serve on the following committees:

Conference Location and Speaker: _________  

Legislative: _____________

Website: _______________     

Scholarship: ____________

 

Membership is valid January 1, 2017 – December 31, 2017


Membership dues are $35.00 – make check payable to GAZA and send to:

GAZA
PO Box 1041
Jasper, GA 30143

 

Questions? Call Richard Osborne at 706-253-8852.