Branch 13

Serving the Greater Sacramento Area

Membership Application

BRANCH 13 MEMBERSHIP APPLICATION

 

 

NAME__________________________________________________________________________

 

ADDRESS_______________________________________________________________________

 

CITY___________________________________________STATE_________ZIP______________

 

PHONE__________________________________E/M_____________________________

 

ASSOCIATE or JUNIOR NAME(S)

 

_________________________________________________________________________________

 

_________________________________________________________________________________

 

PRINCIPAL_________DUAL_________NEW__________RENEWAL_________

 

I would like to help with:

 

 ______________________________________________________________________________

 

I have read the safety rules and agree to abide by them:_______________________

                                                                                                Signature

 

Annual membership runs from April to April and is not prorated. Please include $25 for each principal member, $17 for each associate, Junior , dual  (include copy of your membership card) or subscription only member.  Make checks payable to EDGE&TA Branch 13 and mail all to %Membership Director Kim Blodgett,  7533 Lucky Ln., Citrus Heights, Ca 95610.