DOHENY STATE BEACH INTERPRETIVE ASSOCIATION

MEMBERSHIP APPLICATION



I want to support the Doheny State Beach Interpretive Association. Please enroll me as a:



____ Student or Senior ($5.00) ____ Family Member ($15.00) ____ Organizational Member  ($50.00)

____ Individual Member  ($10.00)

____ Supporting Member ($25.00)

____ Life Member  ($100.00)


____ Tax Deductible Donation $__________


NAME: _________________________________________________________________

ADDRESS: _______________________________________________________________


_______________________________________________________________________


CITY:_______________________ STATE: ______ ZIP: ____________

PHONE: (_____) ___________________________

E-MAIL: __________________@______________



____ Please send me information on your docent program.


Make check or money order payable to Doheny State Beach Interpretive Association.


MAIL TO:

DOHENY STATE BEACH
INTERPRETIVE ASSOCIATION
25300 Dana Point Harbor Drive
Dana Point, CA 92629
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