American LaMancha Club
MEMBERSHIP APPLICATION
Membership $15.00 includes newsletter mailed to you quarterly plus buck
book/membership directory; listing on website
Sustaining Membership (Above + Your name listed as Sustaining Member) $25.00
Please indicate: ( ) This is a new membership---or---( ) This is a renewal
NAME_____________________________________________________________________
ADDRESS__________________________________________________________________
CITY_____________________________________STATE___________ZIP_______________
PHONE___________________________ E-MAIL___________________________________
HERDNAME_________________________________________________________________
WEB-PAGE url_______________________________________________________________
I
am interested in having my business card included in the ALC newsletter/buck
book/membership directory ________
Please add an additional $10 for business card listing for one year.
Please make checks payable to "ALC" and Mail to:
Krista Senn, 11075 Old
Oregon Trail, Redding, CA 96003 Phone: 530-241-4214
For correspondence regarding membership, please address email to ksenn10052@aol.com
NEW! You are welcome to pay for your membership using Paypal. Send your money (CASH ONLY-No Credit Cards) to alc@lamanchas.com Please indicate what the payment is for.