Name(s):
______________________________________
Address:
______________________________________
_____________________________________________
City/State/Zip___________________________________
Phone
(Home): _(____)___________________________
Phone
(Work): _(____)____________________________
Email: ________________________________________
Please indicate whether or not you wish to receive the newsletter by mail or e-mail ________________________________________ (if you do not indicate your choice, the newsletter will be e-mailed to you.)
Circle Membership
Type: NEW
RENEWAL
Total enclosed @ $20 each ________________________
| Do you wish to become
a Madre volunteer? |
Yes |
No |
| Are you available weekdays? |
Yes |
No |
| Evenings? |
Yes |
No |
and/or Weekends? |
Yes |
No |
Mail this
application and enclose your check
made payable to the San Diego Madres to:
San Diego Madres
ATTN: Membership
P.O. Box 600113
San Diego, CA 92160-0113