Posted on Sep 20, 2007

GABEO GEORGIA ASSOCIATION OF BLACK ELECTED OFFICIALS www.gabeo.org MEMBERSHIP APPLICATION AND REGISTRATION Please Print Clearly Name ________________________________________________________________ Elected Office__________________________________________________________ Name of Business/Corp.__________________________________________________ Address_______________________________________________________________ (Where you receive mail daily) City_____________________ State___________________ Zip____________________ Home Phone _________________Work Phone______________ Fax ________________ E-mail Address _______________________________________ Full Conference/Convention Package $150 (Covers all activities for one convention except accommodations and Summer Convention Dinner Cruise) _____$10 Students _____$50 Luncheon Only _____$100 Associate _____$250 Sustaining: Current and Former Elected/Appointed Officials (Summer Dinner Cruise Ticket Included) _____$500 Benefactor _____$1000 Endowment _____$5000 Corporate Memberships of $250 and above cover all activities/events annually except accommodations. SIGNATURE_________________________________________DATE____________________________ MAKE CHECK PAYABLE TO: GABEO MAIL TO: Tyrone Brooks, President, Suite 511, Coverdell Legislative Office Building, 18 Capitol Square Atlanta, Georgia 30334 NOTE: We extend membership invitations to all persons who support our mission, goals, activities, programs and work. Only current dues paying members who are elected public office holders are allowed voting privileges at GABEO meetings. Memberships must be renewed annually. Please coordinate with your local governing authority concerning membership payments as your other dues and fees are paid. You do not have to be an elected official to join GABEO.