Membership Application/Renewal Form
To join or renew, fill in form, print and send with your check to:

SLOCGS Membership
P.O. Box 441
San Luis Obispo, CA 93406

Membership Type (Check one)
Yearly Individual: $22

Family [for existing Family Membership renewals only]: $26
Multi-year Individual: $20 times # of years

Family [for existing Family Membership renewals only]: $26 times # of years
For multi-year memberships, enter # of years included in payment
Lifetime Individual: $264

Supporting: $500

Benefactor: $1,000
Your canceled check is your receipt.

Name and Contact Information

Name:
Address: City, state, ZIP + 4:
Area code & phone: Email address:
Do you want a Membership Card? Yes No

For Society's Use: ID# _____ Log # _____ Cash _____

Check #____ Amount ____ Date _________ New Exp. Date ___________