PAC*SJ Printable Membership Form

Please print this form and include it with your membership check to Join or Renew . Member levels of $100 or more recieve a free copy of the new Willow Glen Walking Tour Book. .

Membership Type:

Name

Street

Apt./Ste.

City

State

ZIP Code
-

Day Phone

- - x

Other Phone

- - x

E-Mail

Organization

Referred By:

Email me about upcoming events?
Yes    No

PAC*SJ will not release your contact details to third parties without your consent.
Please check if would like us to not publicize your name as a PAC*SJ member.


I would be interested in Volunteering (please check any of the following):
      Serving as a Board Member
      Working at events or tours
      Testifying at public meetings
      Writing articles for the Newsletter
      Pro bono legal assistance
      Public Relations
    Other:

I would be interested in serving on:
      Advocacy Committee
      Fundraising Committee
      Education Committee
      Membership Committee

Mail this form and your membership check to:

PAC*SJ
P.O. Box 2287
San Jose,CA 95109-2287

OR call us at (408) 998-8105 and give us your credit card details over the phone: we take Visa, MC and American Express.

PAC*SJ is a 501(c) 3 non-profit organization
Non-Profit Tax ID: 77-0254542

Name
Street
Apt./Ste.
City
State
ZIP Code	-
Day Phone	- - x
Other Phone	- - x
E-Mail
Organization
Referred By:

Mail this form and your membership check to:
PAC*SJ P.O. Box 2287 San Jose,CA 95109-2287

OR call us at (408) 998-8105 and give us your credit card details over the phone: we take Visa, MC and American Express.

PAC*SJ is a 501(c) 3 non-profit organization Non-Profit Tax ID: 77-0254542