MEMBERSHIP
Application for Membership
Having attended and/or graduated
from the University of California at Berkeley,
I,____________________________
hereby apply for membership in the Northern C's Alumni Club.
I attended Berkeley from _________________
to _________________.
My undergraduate major was _________________________________.
Name: _____________________________
Address: ___________________________
City: ______________________________
State: ______ Zip: _______________
E-Mail Address: ______________________________
Home Phone: _________________________________
Business Phone: _______________________________
Date: _______________________________________
I am a member of the California
Alumni Association: YES ______ NO ______
Please Print this form, complete and mail with
a $15.00check to:
Ron Bresolin, Treasurer
PO Box 994466
Redding, CA 96099-4466
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