2008 INTELLENET MEMBERSHIP RENEWAL

1 January 08 to 31 December 08
[   ] 1 January 07 to 31 December 07 (due if checked = $100.00)
Amount Due: $100.00

RETURN THIS SHEET WITH PAYMENT

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YOUR NAME: _____________________________

[ ] Check here if you have e-mail capabilities, but presently are not on the Intellenet Listserv. The Intellenet group e-mail is intellenet-L@yahoogroups.com. This is restricted to membership only and your e-mail address is required. Please enter your e-mail address in the space given below, if not currently on that list.

If you are a current user, go to the Membership List section of the Intellenet website to check your listing. Verify your contact information, specialized skills and language proficiencies at

http://www.intellenetwork.org

[ ] Check here if you do not have Internet access and need to receive a hard copy membership roster. (Enter your address below.)

(Do not fill in unless a listing change is needed or you need to get a hard copy roster.)

ADDRESS: _____________________________________________________________

_______________________________________________________________________

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PHONE: ___________________________ FAX: ______________________________

EMAIL: ________________________________________________________________

Please use reverse of this page for COMMENTS (or contact intellenet@intellenetwork.org) if you have any questions.

Prior Agency _____________________ (if any - Fed, State or local LE agency if application.)

ALL CHECKS MUST BE DRAWN ON U.S. BANKS

Make checks out to Intellenet and send to:

Mail to: Intellenet

P.O. Box 350

Gladwyne, PA 19035

USA

Thank you for your renewal!

[ ] I renew my pledge to abide by our Code of Ethics and Bylaws. (Latest version on website.)

[ ] Check here if comment sent on reverse.