Regular Member - $55.00

Dual Member (2 persons) - $ 80.00

Patron Member - $100.00

Limited Income Member - $ 30.00

Student Member (under 30 yrs. old) - $20.00 (includes membership in Youth for Democratic Action)

Sustaining Member at  $____     $50      $35     $25 every 3 months. (Minimum $25)

Name as it appears on credit card

_______________________________________________

Day telephone:______________________

Address_________________________________________

Evening telephone:_______________________

City____________________________________________

Zip Code:____________________

E-mail__________________________________________

Fax:_____________________________

(Indicate form of payment by checking box)  Credit Card:     ___Visa      ___Master Card    

 Card No.____________________________________    Expiration date______________________

Check – [Make checks payable to SCADA]                  Cash