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west <br />icipal <br />nsmission <br />roup <br />APPLICATION FOR MEMBERSHIP IN MMTG: <br />Application Date: <br />Name of Entity: <br />Address: <br />Contact person: <br />Phone number: <br />Fax number: _ <br />Email: <br />applies to become a member of the Midwest Municipal Utilities Association (doing <br />business as the Midwest Municipal Transmission Group (MMTG)). The applicant agrees <br />to pay all dues, fees and assessments assessed by the Association to the applicant's <br />corresponding membership class. Applicant acknowledges and understands that MMTG <br />has the sole right to determine the specific category of membership, and applicable rights, <br />of each applicant. <br />Approved by the Board of Directors of the Association <br />By <br />Date of Approval: <br />PLEASE RETURN BY APRIL 28, 2006. <br />(for the Association) <br />MMTG c/o IAMU 1735 NE 70th Avenue, Ankeny Iowa 50021 Phone: 515/289-1999; <br />FAX 515/289-2499; Anne Kimber email: akimber@iamu.org <br />