palmdale sheriff booster’s application … · in addition to my dues, i would like to donate an...

Palmdale Sheriff Booster’s MEMBERSHIP APPLICATION Contact Information Membership Type: Access Interests Payment Information Membership Includes: Individual Name Street Address City/ST/Zip Code Home Phone Work Phone Cell Phone E-Mail Address New Member Referred By: _________________________ Approved by Board: _______________________________ Membership in Palmdale Sheriff Boosters will offer you the opportunity to meet with our first responders in a social setting. It also offers you the privilege of participating in special events which might not otherwise be available, such as station tours and ride a longs with a Deputy. 1. Annual membership dues are $50.00 per person (Individual) 2. Small Business $125.00 - 25 or less (one designated member only) 3. Corporate membership $250.00 (one designated member only) _______ I am interested in volunteering to assist with the committees _______ I am interested in serving as a Director In addition to my dues, I would like to donate an additional $___________ to the Palmdale Sheriff Boosters Membership Card Membership Certificate Decal for Vehicle, Home, or Office Mail Completed Application to: Palmdale Sheriff Boosters 750 E. Ave Q Palmdale, CA 93550 Tax I.D. 95-4683976 Small Business Corporate Please make checks payable to: Palmdale Sheriff Booster’s

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PalmdaleSheriff Booster’s

MEMBERSHIP APPLICATION

Contact InformationMembership Type:

Access

Interests

Payment Information

Membership Includes:

Individual

NameStreet AddressCity/ST/Zip CodeHome PhoneWork PhoneCell Phone

E-Mail Address

New Member Referred By: _________________________ Approved by Board: _______________________________

Membership in Palmdale Sheriff Boosters will offer you the opportunity to meet with our first responders in a socialsetting. It also offers you the privilege of participating in special events which might not otherwise be available, suchas station tours and ride a longs with a Deputy.

1. Annual membership dues are $50.00 per person (Individual)2. Small Business $125.00 - 25 or less (one designated member only)3. Corporate membership $250.00 (one designated member only)

_______ I am interested in volunteering to assist with the committees_______ I am interested in serving as a Director

In addition to my dues, I would like to donate an additional $___________ to the Palmdale Sheriff Boosters

Membership CardMembership Certificate

Decal for Vehicle, Home, or Office

Mail Completed Application to:Palmdale Sheriff Boosters

750 E. Ave QPalmdale, CA 93550

Tax I.D. 95-4683976

Small Business Corporate

Please make checks payable to: Palmdale Sheriff Booster’s

PALMDALE oF CITv

Palmdale Community Renaissance Plan

PALMDALE, CA - LoopNet...2616 PALMDALE BLVD PALMDALE, CA. No warranty, express or implied, is made as to the accuracy of the information contained herein. This information is submitted