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Membership Form - (Please Print)

Annual Dues (two options):

$15.00 per year with the newsletter delivered electronically
$25.00 per year with the newsletter delivered to you by the US Postal Service

Print out form and mail to:

SGVCSS - Membership
719 S. Albertson
Covina, CA 91723
Name(s):
Address:
City:
State:
Zip Code:
Telephone:  (            ) 
E-mail address:
Date: ______|_______|_______|