NOTE: * indicates required field
First Name:* _______________________ M.I.:__________ Last Name:* ___________________________ Address1*________________________________________ Address2:________________________________________ City:* ________________________________________ State:* ________ Zip:* ____________________ Home phone:_______________________________________ Work phone:______________________________ Email:* __________________________________________ Society Member #:*________________________________ Chapter # (if known):____________________ Chapter:* ________________________________________ District:* ______________________________ Chapter Bulletin Name:____________________________ Current Position:________________________ (if Editor) Offices:__________________________________________ PROBE Member Since:______________________
Dues are still just $10 per year.
Please print out this page, fill in the information, make check payable to PROBE and send to:
PROBE Treasurer
Dick Girvin
34888 Lyn Ave
Hemet, CA 92545
If you have questions, please contact Dick at:
(951) 926-8644, or
dickgirvin@juno.com
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