Membership Form SAAC 05

Membership Form

First Name

Last Name

Street/PO Box

Town

Zip

Phone, Day

State

Phone, Evening

E-mail

Phone, Cell

Members have the satisfaction of knowing they are chipping in to support our work. Memberships are tax-deductible contributions to a 501c3 educational nonprofit. We need and welcome any additional contribution you can make.

Membership

Other Contribution

Total

Send your payment by mail? Yes No
(if No then you will have the option to pay using Pay Pal on the next page). DECEMBER 2007 NOTE: OUR PAY PAL SETUP IS NOT WORKING, JUST E-MAIL YOUR MEMBERSHIP INFORMATION AND MAIL US A CHECK VIA THE POSTAL SERVICE. THANKS AND APOLOGIES FOR THE INCONVENIENCE.