Mendocino Headlands, John Hart
Otherwise, copy text below, complete and e-mail.
I hereby authorize the State Controller (or CalPERS for retirees) to deduct from my payroll warrant and transmit as designated an amount for membership dues in the California State Park Rangers Association. This authorization will remain in effect until canceled by myself or by the organization.
I certify I am
requesting to become a member of CSPRA.
Monthly Membership Type:
Active * Retired * Supporting * Professional Dev * Organization * Benefactor
State Zip Code
District, Section, or Date Retired
Current or Last Job Classification
Social Security Number (required for Active and Retired membership)
_____ I do not have e-mail, send printed "Wave" Newsletter via postal mail
_____ Send an annual receipt for supervisory dues
Your name may be printed in our Newsletter as a new member, and your e-mail may be added to CSPRAnet member communication forum.