Date:_________________
[ ] Individual
[ ] Corporate
I, _________________________________________, do hereby apply for membership in the San Antonio Litho Club.
Employer ____________________________________________________
Business Address ______________________________________________
City _____________________________ State ________ Zip ___________
Phone ________________________ Fax ___________________________
Home Address _________________________________________________
City _____________________________ State ________ Zip ____________
Home Phone ________________________________
Occupation: [ ] Camera [ ] Stripper [ ] Press Operator [ ] Electronic Prepress
Years Experience _________________ Preferred Mailing Address [ ] Home [ ] Business
Recommended By ______________________________________________
Membership Dues enclosed: [ ] Individual $20.00 [ ] Corporate $80.00
Mail this form to:
San Antonio Litho Club
Petroleum Center, Suite D-203
900 N.E. Loop 410
San Antonio, TX 78209-1403