Association of Student Assistance Professionals of Vermont
"Bridging the Gap between Prevention and Treatment"

INVOICE
for Association Membership
($50.00 per member)

Date:

To:
(School)

Street Address:
City, State, Zip:

RE: Association Membership Dues for:
, SAP and
, SAP

Purchase Order #:

Amount: $

NOTE: Payment is due January 1, 2012. Please make checks payable to Association of Student Assistance Professionals of Vermont and send to: ASAP of Vermont Executive Director, PO Box 85, Waterbury, VT 05676