Houston Section of TexITE: 2005 Officers

Prospective Member of the Greater Houston Section of TexITE:

Membership in the Greater Houston Section of TexITE is open to any Texas Section
Member or Affiliate who resides or works within the Section area, upon payment of $5.00
annual dues. Any other interested individual may become a member at the discretion of
the Section and payment of annual dues. Please take the time to join our organization by
filling in the form below. After submitting the application, information on payment of dues
will be sent via e-mail to the e-mail address you provide below. Thank You!

First Name:

Last Name:

License:

Employer:

Job Title:

E-Mail:

Business Mailing Address:

Street:

City:

State:

ZIP:

Phone:

Fax:

Are you interested in serving on a Section Committee?

Yes

Would you like your e-mail address added to the
Section's e-mail distribution list?

Yes

ITE Membership Information: (please mark all that apply)

Are you a member of International ITE?

Yes

Are you a member of TexITE, the Texas Section of ITE?

Yes

By submitting this form, you agree to be governed by the Constitution
and By-Laws of the Greater Houston Section of TexITE.