Institutional Membership Authorization

Revised:  March 28, 2007  

  Organization Name: 





  Non-Lobbying Certification

To the best of my knowledge, this organization does not employ anyone who is required to register as a lobbyist in accordance with Texas Government Code, Chapter 305.



Name                                                                                               Title



Signature                                                                                            Date


  TFS Department: 

  Membership Dues Amount: 


  Benefits to be Derived from Membership





Requester                                                      Signature                                   Date




                                                                      Approval                                    Date


Texas Ethics Commission Lobby List checked



Accounts Payable                                    Date


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