CITY CLERKS AND MUNICIPAL FINANCE
OFFICERS' ASSOCIATION OF KANSAS
2008 ANNUAL DUES

Membership Period is 1/1/08 through 12/31/08

Class of City               Amount
1st Class City                $50.00
2nd Class City               $30.00
3rd Class City                $15.00
Associate Member*       $15.00
(*Associate member is any member no longer serving in a position with a city.)

Name:__________________________________________________________________________________________
                            (Last name, First name)

Title: ___________________________________________________________________________________________

Mailing Address: __________________________________________________________________________________

City & Zip: _______________________________________________ Phone # (_______) _______________________

County: _________________________________  E-mail: _________________________________________________

Please check if applicable:           New Clerk __________   CMC*  ________________
                            MMC** ___________     New CMC __________     New MMC ___________

Are you receiving your WINGS Newsletter via e-mail? Yes _________  No __________

If you are not receiving it by email, would you like to?   Yes__________  No __________

Amount enclosed: ____________________________________ Date: ________________________________________

Make check payable to: CCMFOA of Kansas

Mail to: Marian Cook, CCMFOA Treasurer
            City of Overland Park
            8500 Santa Fe Drive
            Overland Park, KS 66212
            913-895-6151
            E-Mail

PLEASE MAKE SURE YOU HAVE THE CORRECT REMITTANCE ADDRESS

           *  CMC - Certified Municipal Clerk
           **MMC - Master Municipal Clerk