CALIFORNIA MISSION STUDIES ASSOCIATION

MEMBERSHIP/RENEWAL  APPLICATION		 bell and railing

______   Enhanced Membership (more than $100.)   AMOUNT: _________
______   Sustaining              $100.
______   Supporting              $75.
______   Regular                   $45.
______    Senior (65+)           $35.
______   4th Grade Teacher $20.

_______I wish to pay my dues for TWO years.

TOTAL AMOUNT ENCLOSED $ __________

Name
                                                                                                                           
Address
City/State/Zip
Phone/Fax
E-mail
Area of Interest/Activity/Affiliation (Optional)


Please remit this form with your check made payable CMSA to:

CMSA Membership
c/0 Department of History
Santa Clara University
500 El Camino Real
Santa Clara, CA 95053

E-mail cmsa_1@lightspeed.net                                                                       Website:  www.ca-missions.org


NOTE:  Membership renewal notices are mailed SEPARATELY from conference registration forms. 
The Dues Schedule above reflects changes made by the Board of Directors in June 2007.
7/6/07