Print this page and bring to a meeting or scan and send by e-mail or fill in this information into the body of an e-mail and send to Secretary@mcleanestateplanningcouncil.org.  Dues are $20 a calendar year and are not prorated.  Make check payable to McLean Estate Planning Council or MEPC and mark the memo line as "Membership" or "Dues" to keep separate from lunch costs.

Name           _______________________________________________________


Address       _______________________________________________________


Address       _______________________________________________________


Profession   ___________________________ How Long ___________________


Professional Credentials _____________________________________________


Telephone  _______________________  Cell Phone _______________________


E-mail Address ____________________________________________________


If a page is created to list members,
may we list you with a link to your webpage?   ___________


Webpage _________________________________________________________