Name __________________________________________________________________

Street Address __________________________________________________________

City & State _____________________________________ Zip ___________________

Home Phone _________________________ Home E-mail _______________________

Work Phone __________________________Work E-mail _______________________

Employing Agency & Organization _________________________________________

Job Title ____________________________ Grade & Series _____________________

Are you willing to assist in getting RAMEA established? _______________________

Special Skills and Abilities_________________________________________________

________________________________________________________________________

______________________________________ ________________________

Signature                                                                                 Date

Membership: One Time Sign-Up Fee $50.00
Plus Dues $10.00/month or one year membership $160
Donations Accepted.

Mail to: Redstone Area Minority Employees Association
P.O. Box 22214
Huntsville, AL 35814-2214
ATTN: Mr. Matthew Fogg, Executive Director

...Voice Contact...
Local Contact (256) 859-2740
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Toll Free Pager Number:
1-800-532-2025