September 2008 - June 2009 Membership Offer

New Member Initial Dues through June 2007 - $20 Renewal - $15 (Prior Year Renewals get $5 Discount)

Name                                                                                                       AFTRA Mbr. #                                                     
               (Please print)

Address Apt                                                                                             City State Zip                                                                                   

Home # (     )                                                        Service # (     )                                                         Other # (     )                                                       

Only members of AFTRANY in good standing may effect SGAVC membership.

Return completed form and payment to AFTRA--SGAVC, 260 Madison Avenue, 7th Floor, New York, NY 10016.

Do not mail cash. If in person, come between 9 a.m. and 5:00 p.m.