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San Diego Association for Rational Inquiry

Application for Membership

Please check one:

[ ] I hereby apply for (or renew my) a full SDARI membership, including the Rational Inquiry newsletter. My annual dues for $20.00 are enclosed.

[ ] Seniors, Handicapped, and Students (under 22) SDARI membership, including the newsletter. My annual dues of $12.00 are enclosed.

[ ] I hereby subscribe to the Rational Inquiry newsletter only. My $5.00 subscription fee is enclosed.

NAME___________________________________________________________

ADDRESS________________________________________________________

CITY, STATE, ZIP_______________________________________________

TELEPHONE (DAY)________________________________________________

E-MAIL (optional)______________________________________________

Contributions to SDARI are tax deductable under provisions of 26 USC § 501(c)(3).

Personal data above is for SDARI Board of Directors official use only and will not be released to any others.

Mail to:

SDARI
P.O. Box 623
La Jolla, CA 92038
Phone: (619) 421-5844