Membership
Application for Calendar Year 2008
County: _____________________
Finance Representative
Finance
Officer, Director or Official who is responsible for County Finance
NAME:
_______________________________________
TITLE: _______________________________________
ADDRESS: _______________________________________
_______________________________________
Technology
Representative
CIO, IT,
IS, or Computer Services Director, Manager or Official who is responsible for
County Information Technology
NAME:
_______________________________________
TITLE:
_______________________________________
ADDRESS: _______________________________________
_______________________________________
Please complete this form and send along with your
check to the following. You are
encouraged to include your membership on the same check as your Winter
Conference Registration.
Johnny Walton