( ) New Membership or ( ) Renewal
Annual
Dues: Family $12.00 Individual $8.00
NAME:
________________________________________________________
STREET ADDRESS:
______________________________________________
CITY: __________________________
STATE: __________ ZIP: _________
PHONE: WORK
(_____) _______________ HOME (_____) _______________
FAX: (_____)
________________ EMAIL: ____________________________
Check #: _________
Date: __________ Amount: _______________________
Send membership
application and check payable to “Laguna Turf & Surf Walkers”
to our membership chairperson: Vicki Bowman, 2602 W. Orion Av. #3, Santa Ana, CA 92704