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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 ________
____ Send me annual receipt for my dues
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Membership Type - Circle One
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Active
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$ 8.00 per month |
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Active Retired
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$ 36.00 per year |
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Supporting
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$ 36.00 per year |
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Professional Development
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$ 36.00 per year |
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Organization
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$ 50.00 per year |
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Benefactor
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$ 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 applying to be a member of the above organization and understand that termination of membership will cancel deductions made under this authorization.
signature ___________________________
date ______________
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