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Print out this screen, fill out blanks, then send it in along with your check made out to "Santa Barbara Soaring Association or SBSA", to the address shown at the bottom of the form.
OFFICIAL CLUB REGISTRATION FORM FOR 2001

     Now is time to register for 2001 and provide support for your club. The club dues of $15 help defray insurance costs for our sites, mailing costs, parties (if there is money left, etc.) Please take the time now to fill out the information requested below and send it in with your check to our club treasurer, Anne-Odile Thomas (AKA. Skippy)*.
     PROOF OF PAYMENT: Your cleared check will be your receipt. Should you opt to pay with cash instead, at one of the club meetings, a receipt will be provided by the treasurer as a proof of payment. All discrepancies will be resolved by showing proof of payment (i.e. keep your receipt!).

MEMBERSHIP APPLICATION SANTA BARBARA HANG GLIDING AND PARAGLIDING ASSOCIATION

NAME: _____________________________________________________

STREET ADDRESS: __________________________________________

CITY/STATE/ZIP: ____________________________________________

DATE OF BIRTH: ____________________________________________

TELEPHONE #'S H:____________________W:_____________________

USHGA # AND EXPIRATION DATE: ____________________________

USHGA RATINGS: HG:__________________PG:___________________

HAM CALL SIGN AND HANDLE: _______________________________

E-MAIL ADDRESS: ___________________________________________


Please note any emergency contacts, phone numbers, and procedures (like if you have a certain doctor that should be contacted):


Please describe any resources or talents that you have that could be used to the benefit of the flying community:


*Anne-Odile Thomas's address is as follows:
     Treasurer, SBSA
     PO Box 30485
     Santa Barbara, CA 93130-0485



Printed from SBSA

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PO Box 60485
Santa Barbara, CA 93130-0485 USA
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