Gentrain Society Membership Application
DATE:

NAME:

ADDRESS:

CITY:

STATE:     ZIPCODE:

PHONE:

E-MAIL:

WEDNESDAY LECTURE SUBJECT INTERESTS:
Literature History World Affairs Music
Art Political Science Social Problems Anthropology
Religion Science Travel
VOLUNTEER INTERESTS:
Board Member Class/Lecture Information Table
BOARD COMMITTEES:
Communication/Newsletter Lectures/Speakers
Volunteers Membership
Nominating Scholarship
Short Courses Special Events

DUES ARE $35/PERSON AND $50/COUPLE
PLEASE MAKE YOUR CHECK PAYABLE TO: GENTRAIN SOCIETY/M.P.C.
Questions or Comments?

PRINT OUT A COPY OF THIS FORM - MAIL YOUR CHECK AND THE FORM TO:
MEMBERSHIP COMMITTEE, GENTRAIN SOCIETY
MONTEREY PENINSULA COLLEGE
980 FREMONT ST.
MONTEREY, CA 93940-4799