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Labor and Employment Relations Association Gateway Chapter

Membership Form

Co-Sponsoring Membership @ $300 (Add $20 per person over 4 individuals)

Check payable to Gateway Chapter - LERA (IRS Tax No. 43 - 6210063; MO Tax No. 15373371)

Mail check to: Rudy L. Smith, Gateway Chapter _ LERA/IRRA, 240 Millridge Dr., Moscow Mills, Missouri 63362-2516

Name Telephone Fax Email
Organization Address
City State Zip +4

Primary Contact Information

Name Title
Bus. Phone Bus. Fax
Email

ZIP + 4digits may be obtained by calling Zip Code Information from 8:00 a.m. to 5:00 p.m. at 1-800-275-8777