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P.O. Box 5674
Lafayette, IN 47903

A membership
organization for those
responsible for safety.

Established 1980

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Application

 

Greater Lafayette Area Safety Council Membership Application

 
Name
Title
Company
Address
City
State Zip
Phone
Fax
E-mail
  

Dues are $35 per calendar year, please make check payable to
Greater Lafayette Area Saftey Council.

Please print out and mail with check to
GLASC • PO Box 5674 • Lafayette, IN 47903

For PDF file of dues invoice click here 2006 Dues Notice
     

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Send e-mail to paul.felkey@subaru-sia.com with questions or comments about this web site.  
Copyright © 2000-2008 Greater Lafayette Area Safety Council
Last modified: April 16, 2008