SCPS MEMBERSHIP RENEWAL

Pay your $25 dues (U.S.) or $40 (International) either at a meeting or mail to SCPS, P.O. Box 502063, San Diego, CA 92150-2063
(Check payable to SCPS)

Please print legibly

Name_________________________________________________________________________

List second name________________________________________________________________
(if dual membership)

Address_______________________________________________________________________

City_________________________________________State_________Zip_________ - ________

Phone (_______)______________________

Email Address #1____________________________@___________________________________________
Email Address #2____________________________@___________________________________________