Membership Application


Name: _____________________Address:________________________________
City: __________________________State: _____ Zip:_________________________
Home Phone: ________________ Work Phone:__________________________
Parish: ______________________ _Birthday (month/day) ____________________
Are you a new or renewing member?____________________________________
Do you want your phone number listed in our directory?________________
How did you hear about CAC?_____________________________________________
Marital Status: ___Never Married ___Widowed___Divorced___
Would you be willing to be a parish representative? YES__NO__
Please indicate your preference for assistance (PLEASE CIRCLE TWO):Newsletter, Telephone, Planning, Dance, Spiritual Life, Education,Cultural, Publicity, Sports, Social, Hospitality, Community Service

Dues are $36.00 per year.Print out and mail completed application form and check payable to CACSD to: Catholic Alumni Club of San Diego, P0 Box 502415, San Diego, CA 92150-2415