Please Print Mailing Name (how you want mail addressed)___________________________
Address___________________________________________________________________
City_________________________________State___________Zip_____________
Preferred name ______________________________________________________
Family member name (if getting family membership) ___________________
Birth date _________________________ Are you New Member?_____________
How did you hear about ETVC?_________________________________________
Full year membership is from June 1-May 30 is $25 for a single person $35 for family (2 people)
Part year membership from Jan.1 - May 31 is $10 for single person $15 for family (2 people)
Voice mail services are also available: $10 per year for your own voice mail box at ETVC try it out 415-334-3439 and leave a message for Cindy Martin by press 1 then dialing CIND or 2463!
Please remit check or money order to:
ETVC
PO Box 426486
San Francisco, CA 94142-6486