CSPRA Membership Application

To join CSPRA, print this page, fill in blanks, circle membership type, SIGN and mail to:
Executive Manager Allison Pedley, P.O. Box 10606, Truckee CA 96162, (800) 749-8749 or (530) 550-1268

You may also call or send your name and address in an e-mail asking for a printed form to:Allison
For all except "Active" and "Active Retired" membership payroll deduction, please include a check for one year's dues

  • CSPRA is governed by a responsible and responsive Board of Directors elected annually by the voting membership.
  • Active Membership (voting) is available to all current or retired, permanent or permanent intermittent employees of the California State Parks Department. 
  • Supporting, Benefactor and Organization Membership (non-voting) is open to all others who support CSPRA's goals and philosophy.

Supporting Professionalism In
California State Parks

Sign me up as a new CSPRA member!

Name ___________________________________

Address _________________________________

City ___________________________________

State_______ Zip _____________ - _________

E-Mail Address _______________@ __________

Job Classification _________________________

Social Security Number _______ ____ _______

Telephone Home _(_____)___________________

Telephone Work _(_____)___________________

District/Section/Park ______________________

Check one - I prefer getting the "Wave" Newsletter
_____ by electronic mail (PDF file sent by e-mail)
_____ by postal mail (hard copy)

If you do not want your name printed in the New Member column of "Wave" Newsletter, check here ________

  Membership Type - Circle One

 Active

  $ 8.00 per month

 Active Retired

  $ 36.00 per year

 Supporting

  $ 36.00 per year

 Professional Development

  $ 36.00 per year

 Organization

  $ 50.00 per year

 Benefactor

  $ 1,000.00 lifetime

 

I hereby authorize the State Controller to deduct from
my salary and transmit as designated an amount for
membership dues in the California State Park Rangers
Association. This authorization will remain in effect
until canceled by myself or by the organization.
I certify I am a member of the above organization and
understand that termination of membership will cancel
all deductions made under this authorization.

 

 

signature _____________________________________ date ______________


April 16, 2007