STATE USE PROGRAMS ASSOCIATION
2008 ASSOCIATE MEMBERSHIP APPLICATION
NAME OF ORGANIZATION_________________________________________________
INDIVIDUAL REPRESENTING ORGANIZATION_____________________________
ADDRESS__________________________________________________________________
CITY__________________________________STATE__________ZIP_________________
PHONE__________________________________FAX______________________________
EMAIL_____________________________________________________________________
WEBSITE___________________________________________________________________
I, _________________________________, am the duly-appointed representative of
Name
_____________________________________ to the State Use Programs Association.
I acknowledge that Associate Member status confers upon me no voting rights
within the State Use Programs Association and that upon such time a Central Non-
Profit Agency (CNA) is established for the state of ____________________________
State in which CRP is located
that I must relinquish membership in the State Use Programs Association.
______________________________________ _______________________
Signature Date
2008 CRP Associate Members Dues: $250
Please send this completed form and a check made payable to SUPRA to:
SUPRA
c/o Debbie Ignatz
900 Sycamore Lane, #101
Woodstock, GA 30188