APPLICATION FOR MEMBERSHIP

Cabrillo Civic Clubs of California, Inc

I, _____________________________, hereby make application for membership in the Cabrillo Civic Clubs of California, Club #_____.

If accepted, I promise to uphold the Constitution and Bylaws of the State Council and Subordinate Club.

Eligibility for membership by: ____Birth ____Marriage _____Adoption ____Affiliate

Birthplace______________Birthdate_________________Occupation________________

I am a resident of California ____Yes ____ No

Present Address: _________________________________________________________

# Street City State Zip

Telephone # ________________________Email Address:_________________________

Dues for the Club $_______________ per person per year.

Witness my hand this ______ day of ______________, 20_____.

Signature__________________________ Recommended by______________________

Approved for membership by Club # ____ on _________ _______ _______

Month Day Year