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Membership
and Subscriptions : Mail form
Please print this form, complete the requested information, and mail it with your payment to:
- PCAS Membership
- P O Box 10926
- Costa Mesa, CA 92627
Memberships and
subscriptions are for the 2010 calendar year.
Name: ________________________________________________________
Street address: ______________________________________________
City: ________________________________________________________
State: _______________________________________________________
Zip: _________________________________________________________
Phone: _______________________________________________________
Email: _______________________________________________________
I have read and agree to abide by the PCAS Code of Ethics.
(signature) __________________________________________________
Membership
Please check one:
Active member $45.00 ________ (All members receive the
Newsletter and Quarterly.)
Active family (2 persons) $50.00 ________
Supporting member $55.00 or above ________ (Supporting, Donor,
and Lifetime categories
Donor member $75 or above ________ may be individual or
family memberships.)
Lifetime member $1,000 ________
Student Associate $10 ________ (Students Associates receive
the email PCAS Newsletter
[no Quarterly] and have no
voting rights. Please submit
proof of student status.)
Subscriptions only
Quarterly only $37.00 ________
Newsletter only $18.00 ________
Both publications $55.00 ________
__ Yes, I would like to receive the Newsletter by email ________________________
Please be sure email address is legible.
__ I want to make an additional donation to scholarship fund of $ _________
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