QPS Membership Renewal Form

  





ID#:

First name: Last name:

Address:

City: State: Zip:

Email::

Phone:

Membership dues are in US currency for One (1) Year

US $20us

Canada $22us

$15us/Student

Please complete form, and mail your check or money order to:

QPS
P.O. Box 619
Fiskdale, MA 01518

To renew membership using paypal:

To renew student membership using paypal:

To renew Canadian membership using paypal:

To renew International membership using paypal:

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