PO Box 94116			INVOICE NO.
Seattle, WA 98124-6416			DATE
NWRADTreas@gmail.com
www.NWRAD.org
Name:			Do you need us to update your address?  YES or NO
Address:			Do you want to receive email from NWRAD? YES or NO
State City Zip:			Do you want to join NWRAD membership?  YES or NO
VideoPhone:
E-Mail:
Date of Birth:
TREASURER		TAX ID #	PAYMENT TERMS		DUE DATE
Bryan C. Bullock		91-1637551	Due upon receipt
QUANTITY	DESCRIPTION			UNIT PRICE	LINE TOTAL
	NWRAD 25th Anniversary Gala - DVD       (MEMBER)			$15
	NWRAD 25th Anniversary Gala - DVD       (NON-MEMBER)			$20
	NWRAD "I Love You" Rainbow Magnet			$7
	NWRAD Annual Membership:  Regular			$30
	NWRAD Annual Membership:  Senior Citizens (60 and over)			$15
	NWRAD Annual Membership:  Youth (18 to 25 years)			$10
	Make a tax-deductible donation to NWRAD fund?
				S & H
				TOTAL