ALT Membership Form

Yes, I would like to join The Association of Laboratory Technicians

Name:___________________________________Telephone:__________

Laboratory:______________________________Section:____________

Address:________________________________Date:______________

City:_______________State:_____ Zip:______________

Please print, complete and return with $5 annual dues. Make checks payable to: Association of Laboratory Technicians Treasurer. Return to Wendy Hambly, ALT Secretary, NADC, 2300 Dayton Rd. Ames, IA. 50010. For further information call the ALT President at 515-239-8512


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