First Name: _________________________________ Last Name: _________________________________
Address: _______________________________________________________________________________
City: _______________________________________ State: ________________ Zip: _________________
Phone: (____)___________________ E-mail: _________________________________________________
 

Dues are $25.00 per year from July to June.
After December dues are $12.50 to June.

Please print form and send to:
Russ Hora
P.O. Box 61145
Sunnyvale, CA 94088-1145
Phone: 408-733-3056

Officers:
Mike Desing (Pres.) 650-574-8167
Leigh W. Bradbury (VP) 415-279-5519
Russ Hora (Treas.) 408-733-3056
Richard Goldman (Sec.) 650-961-5465
Robert Clothier (SatA.) 650-637-8815