Join UMBA

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Notice: Please supply the following information to renew or join UMBA. Please include  all the following information, even if your contact info has not changed.
Dues $20 per year, your renewal date is one year from the date that you join.
Send a check or money order payable to UMBA to:
UMBA
313 Hillview Circle
Waukesha, WI 53188
1 year [  ]    2 year [  ]    Circle one   3    4   5  years
New Member [  ]             Membership Renewal [  ]  
NAME_______________________________________________________________
ADDRESS_____________________________________________________________
CITY, STATE, ZIP_______________________________________________________
PHONE (      ) ______ – _________ ADD CONTACT INFO TO PUBLISHED ROSTER Y / N
EMAIL ____________________________________ @__________________________
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