PAC*SJ Printable Membership Form
Please fill out and print this form, and include it
with your membership check to Join or Renew.
As an additional incentive for those who renew at the $100 level, you
may request a copy of Signposts
Revisited
by Pat Loomis or you may select the just released PAC-SJ 20th
Anniversary DVD. Celebrate PAC-SJ's 20th Anniversary with a
special
DVD documenting many of our highlights of the past 20 years. Join at
the $250 level and above and receive both the book and the DVD.
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| $100+ level Incentive: |
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Referred By:
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| 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 History Park 1650 Senter Road San Jose CA 95112 |
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| 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 |