| Date of Application | ||
| First | Last | Phone |
| Address | ||
| City | State | Zip |
| e-mail address | ||
| New or Renewal? | ||
| Single $15.00 ____ | Family $20.00 ____ | Senior (60+)/Junior (-18) $10.00 ____ |
| Would you prefer to get your newsletter by e-mail (color, faster, cheaper!)? _______ | ||
| How did you hear about us? | ||
Please list your interests and possible meeting topics you would like to see at the bottom of this form.
Please print send this form with payment (checks payable to GSAS) to
Mary Sodawasser
3227 207th Pl SE
Bothell WA, 98012-1406
Save a Stamp, Save a Check!
|