BCMA

Membership includes monthly e-mail newsletter, discounts on lectures, events, workshops, and conferences as well as several area book stores. A membership card will be mailed to your home so that you can gain entrance to our General Meeting Lectures for no charge.

NAME ______________________________________

ADDRESS___________________________________

___________________________________________

CITY________________________ST___ZIP________

Phone ______________Cell Phone ________________

e-mail: _____________________________________

Website: ____________________________________

Membership:

Academic ($60) ___

Associate ($50)____

Sr.Citizen/Student ($25) ____

Professional/Vocational ($65)____

Group Organization ($75) ____

Please indicate from the list below any personal information you wish to be excluded from our Membership Directory.

Address: ____ Phone: _____ E-Mail: ______

I am willing to volunteer at functions, workshops, General Meetings and Events. _____

Credit Card# ___________________________Exp. Date _______

Visa ____ Master Card ____ Discover ____ AMEX ____

Return this application with your personal check or credit card information and mail it to:

The BCMA
P.O. Box 128
Chalfont, PA 18914

or you can fax it to: 215-996-9946

THANK YOU!