NCAS MEMBERSHIP APPLICATION

NAME ______________________________________

ADRESS____________________________________

CITY________________ STATE_____ ZIP_________

PHONE_(___)__________________

Individual membership dues are $25.00 per year.

Member and Spouse $30.00 per year.

Family ( Children under 18 years of age ) $35.00 per year.

Print this application and mail with payment to:

NCAS

P.O. Box 3063 Rocklin, CA   95677

Attn: Barbara Sommers