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CEC-RB Membership Application
Effective through June 30, 2017

Print and fill out this form


Membership Information:
Name(s)
                                                                         

__New   ___Renewal


 

__New   ___Renewal

Address

City, State, Zip

Phone (with area code)  
E-Mail Address



Individual membership
____ $30 per year
Family membership
____ $50 per year
Sustaining Individual
____ $200 per year

 
Volunteering Opportunities

____ Lecture registration
____ Special events
____ Office assistance
____ News mailings
____ Leadership position

____ Audio Visual



Instructions:
1.  Print this page with your web browser
2.  Enter your information and the membership type, individual or family
3. Check off any volunteer activities you'd like join in
4.  Make your check payable to:  CEC/RB
4.  Mail to CEC/RB, PO Box 28099, San Diego, CA 92198-0099

For additional information, phone 858-487-0464