Membership Enrollment Form (SCMS provides two name tags for each membership).

 

 

Name1 (PLEASE PRINT)

 

 

Name2 (PLEASE PRINT)

 

 

Street Address (PLEASE PRINT)

 

 

City, State and Zip Code (PLEASE PRINT)

 

 

Telephone

 

 

E-mail address

 

Circle Type of Membership:

$12.00  Household Membership

$10.00   Individual

$ 7.00   Senior Household (age 60)

I want to save the club some money, you don't need to mail the newsletter I will pick it up on the internet.  

Circle one:  Yes     No

Mail completed form with check to:

SCMS

PO Box 2822

Everett, WA 98213-0822