Application for Membership
Print and complete this form to apply by mail.
Individual* Membership Categories and Dues (circle one)
- Regular Member (annual) $15
- Regular Member (3 years) $39
- Regular Member (5 years) $55
- Lifetime Membership (age 50 and under) $300
- Lifetime Membership (age 51-65) $200
- Lifetime Membership (over age 65) $100
- Associate Member (spouse of member and at same address) $5
- Junior Member (under age 18) $5
Name:_______________________________________
Address:_____________________________________
City:__________________ State_____ Zip_________
Applicant's Signature:___________________________________
Sponsor: CSNA Webmaster
or enter sponsoring CSNA member's name: ___________________
- Make your check or money order payable to: C.S.N.A.
- Mail completed application to the CSNA Corresponding Secretary:
STEPHEN HUST0N
CSNA Membership
P.O. Box 1388
Alameda CA 94501
- Enquiries about C.S.N.A. may be addressed to the Secretary. Allow several days for a response.
* Clubs — please contact the Secretary for details
