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Gentrain Society Membership Application |
DATE:_________________________
NAME:_________________________________________________________________
ADDRESS:______________________________________________________________
CITY/STATE:_____________________________________________________________
ZIPCODE:_________________________________________________
PHONE:___________________________________________________
E-MAIL:___________________________________________________
INTERESTS:
| __Literature | __History | __World Affairs | __Music | |
| __Art | __Political Science | __Social Problems | __Antropology | |
| __Religion | __Science | __Travel |
PRINT OUT A COPY OF THIS FORM - MAIL YOUR CHECK AND THE FORM TO:
MEMBERSHIP COMMITTEE, GENTRAIN SOCIETY
MONTEREY PENINSULA COLLEGE
980 FREMONT ST.
MONTEREY, CA 93940-4799