Send this form with dues to TLNA, PO Box 703, Madison, WI 53703 Minimum Dues: Adult (ea) $10.00 Senior $5.00 Business: $20.00 Additonal contributions are welcome! Name:_____________________________________________ Address:___________________________________________ Phone:_____________________________________________ E-Mail:_____________________________________________ ________________________________________________________ I would like to be involved in the following committees: _____Business _____Transportation _____Publicity _____Safety _____Social _____Housing _____Community Services _____Education _____Parks _____Membership