User your Browser, Print function to print this form, fill it out and mail it with your check.
|
Name:___________________________________________ |
|
|||
|
Business Name:___________________________________ |
|
|||
|
Address:_________________________________________ |
|
|||
|
City:____________________________________________ |
|
|||
|
State:___________________________________________ |
|
|||
|
Zip:____________________________________________ |
|
|||
|
Phone:__________________________________________ |
|
|||
|
|
E-mail:_________________________________________
|
|
Annual membership dues are $24.00, payable on October 1st. New membership is pro-rated at the rate of $2.00 per month from the first day of the upcoming month thru October 1st. Please mail your check with the correct amount only (payable to ACMCA) together with this application.
|
|
|
Mail to: |
ACMCA |
|
|
John Disalvo, Treasurer |
|
|
340 Walnut |
|
|
Arcadia CA 91007 |
|
|
626-445-8414 |