Sacramento Archeological Society Membership Application

Please complete the following form to provide the necessary contact information requested for becoming a member of Sacramento Archeological Society:

            Name 
  Street Address 
 Address (cont.) 
            City 
  State/Province 
 Zip/Postal Code 
         Country 
      Work Phone 
      Home Phone 
          E-mail 
             URL 

Personal Information:

             Age 
             Sex Male Female

Choose one:

New Member
Gift from

Choose your membership:

Student/Limited Membership…………….
Individual Membership……………………
Family Membership……………………….
Sponsor……………………………………..

Date:

-- mm/dd/yy

Signature:

Parent's signature:

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