Membership Application
Print and fill out this form and mail it to:
Mike Hurley, 5731 W 87th St., Overland Park, KS 66207
Annual dues: $35 per individual, per year, or 2 years for $60.
Make Checks Payable to: SenCom
Or call Lou at: (913) 298-0575
| First Name |
| Last Name |
| Street Address |
| City |
| State ZIP Code |
| Phone Number ( ) – |
| Email Address |
| How did you learn about SenCom? |