Printable Membership Form
SAN FRANCISCO SEMINOLE CLUB
Membership Form
Name: ___________________________________ Date: __________________
Address: ____________________________________
____________________________________
City: ____________________ State:_____ Zip: ___________
Home Phone: ______________________
Work Phone: _______________________
Email: _____________________________
Are you an FSU graduate? _____ Yes _____No What Year & Major? _________________________
Would you be interested in serving on a committee? _____Yes ______No
(Committees include: Events & Activities Scholarship Membership/Recruitment Newsletter/Communication Community Service Public Relations)
Please indicate your interests/hobbies? ______________________________________________
__________________________________________________________________________________
Membership Type:
______ $20 Individual
______ $30 Family
______ Renewal or _______New Member
**Membership term lasts one year from the date your dues are paid.**
Please print, complete and return to:
San Francisco Seminole Club
P.O. Box 26742
San Francisco, CA 94126
Make checks payable to the San Francisco Seminole Club
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