SECA Membership
Form
Web Page
| Name______________________________________________________________ |
| Clown Name
________________________________________________________ |
| Address
___________________________________________________________ |
| City
________________________________ |
State
________ |
Zip_____________ |
| Phone
( ) ________________________ |
Email __________________________________ |
| Individual .......................................................
|
$15 Each X _______ |
_____________________ |
| Family $6 for each additional person .............
|
$ 6 Each X _______ |
_____________________ |
|
|
Total enclosed |
_____________________ |
 I
would like to receive a color copy of the Giggle Gazette electronically
rather than a black and white copy sent through USPS. |
Make checks payable to SECA
and mail to:
Dianna "Lil' Smidgen"
Hale, Treasurer, 1013 Way Thru The Woods, Decatur, AL 35603
** Individual Memberships
are $15 for the year November 1st - October 31st. Family memberships are $6
for each additional clown. So, if you have two family members joining SECA,
you would send in $21 ($15 for the first member plus $6 for the second member).
