train.gif - 3K 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

DUES ARE $30/PERSON AND $45/COUPLE
PLEASE MAKE YOUR CHECK PAYABLE TO: GENTRAIN SOCIETY/M.P.C.

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