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Central Coast Cal Alumni Chapter 2012 Membership Form

This document is a membership form for the Central Coast Cal Alumni Chapter. It requests the member's name, address, contact information, graduation details, profession, and payment for an annual $25 membership fee or $10 for recent graduates. It also includes an optional tax-deductible donation to the Alumni Scholarship Program. Members are asked to return the completed form and payment to the address provided.

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55 views1 page

Central Coast Cal Alumni Chapter 2012 Membership Form

This document is a membership form for the Central Coast Cal Alumni Chapter. It requests the member's name, address, contact information, graduation details, profession, and payment for an annual $25 membership fee or $10 for recent graduates. It also includes an optional tax-deductible donation to the Alumni Scholarship Program. Members are asked to return the completed form and payment to the address provided.

Uploaded by

riniurs
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CentralCoastCalAlumniChapter

2012MembershipForm

Name______________________________________________________________________________

Address_____________________________________________________________________________

City________________________________________State__________ZIP______________________

Telephone___________________________Email___________________________________________

Class__________________Major_________________________________Degree________________

Profession_________________________________________

Enclosedis$___________for_______annualchaptermembership(s)at$25*perperson.
*Annualduesare$10foralumniwhograduatedwithinthelast20years.

Alsoenclosedismy$__________taxdeductibledonationtotheAlumniScholarshipProgram.
(donationsinanyamountaregreatlyappreciated)

Totalenclosed:$__________

PleasemakeyourcheckouttoCCCAC.

Pleasesendthisformandyourannualduespaymentto:

CentralCoastCalAlumniChapter
c/oHalLarson
2325ParklandTerrace
SanLuisObispo,CA93401

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