NAME:
ADDRESS:
CITY:
STATE: ZIPCODE:
PHONE:
E-MAIL:
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