Association of Georgia Surveyors
P.O. Box 7117
Chestnut Mtn. Ga. 30502

A.G.S. Membership Registration Form - Print and mail to address above
Annual membership registration fee ($125.00)

Name: _______________________________________________________________________________

RLS # _________________________LSIT______________________ Assoc._________________________

Company Name: _________________________________________________________________________

Address: ______________________________________________________________________________

City: _________________________________ State: _________________ Zip: _______________________

Office Phone: ______________________________ Home Phone: __________________________________

Fax: ____________________________________ email: _________________________________________

Cell: ____________________________________ Mobil: _________________________________________