Membership
MEMBERSHIP FORM

Member Name:
Spouse Name:
Mailing Address:
First: Last:
First: Last:
Address: City:
State:      ZIP: Phone:
Annual Dues:
Renewal      New Member
Check (Payable to GLASC)      Cash
  Single: $15.00     Couple: $25.00     Additional Member: $10.00 Amount Enclosed: $
IMPORTANT:
Print this form and mail it with payment to: GLASC, P.O. Box 800413, Santa Clarita, CA 91380-2563
Newsletter and
Mailing Lists:

GLASC offers its members the monthly newsletter by email. It is presented in full color and features easy hyperlinks for members to check the web for related info, find driving directions to events and weekly dinners, and quickly and easily RSVP to GLASC events. The e-newsletter requires a valid email address and Adobe Acrobat Reader (available free from www.glasc.com).

A Signature is required from EACH member or spouse in order for that individual to be added to any of the following e-mailing lists.

Please send me GLASC's Monthly Full-color Newsletter by email.            No Thanks.
Please add me to the ANNOUNCEMENTS email list. This will keep me informed of important event information.      No Thanks.
Please add me to the REMINDERS email list. This will inform me once a year about membership renewal.              No Thanks.

 
Member Name: Member Email:
Spouse Name: Spouse Email:
 

Please send me GLASC's Monthly Newsletter by regular Postal Mail.   

__________________
Date Signed
_______________________________________________
Member Authorized Signature
_______________________________________________
Spouse Authorized Signature

              E-Mail: contact@glasc.com               Website: www.glasc.com
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