NEWPORT BEACH SISTER CITY ASSOCIATION
Application for Membership
Please print, complete and mail to the address below with check payable to NBSCA:
Your Name ___________________________________________
Family Members' Names ___________________________________
____________________________________________
Address _____________________________________________
Phone ______________________ Fax ____________________
Email ___________________________________
If this is business or corporate membership, please include company name below and complete the information above with business information.
Company Name ________________________________________
PLEASE CHECK ONE:
______ Student (through College) $10
______ Senior (Individual 65 & over) $15
______ Individual $25
______ Family $50
______ Business $100
______ Friend/Patron $250
______ Corporate Benefactor $500
PLEASE INDICATE INTEREST IN:
______ Membership ______ Publicity & Newsletter
______ Education / Youth Exchange ______ Fund Raising Events
______ Social Events ______ Clerical
_____ Antibes Committee ______ Okazaki Committee
_____ Ensenada Committee ______ Exploring new sister cities
PLEASE MAIL WITH CHECK TO:
NBSCA, Post Office Box 3134, Newport Beach, CA 92659