Fill in the appropriate information.
Prepare a check for $25.00,
made out to CCEI, which is for a year of membership dues.
Send both to CCEI Membership, P.O. Box 6068, San Mateo, CA, 94403-0868.
Name: _________________________________________
School: ________________________________________
Home Street: ____________________________________
City: __________________________________________
Zip and State: ___________________________________
Home Phone: ___________________________________
School Phone: ___________________________________
E-mail Address: _________________________________
_______________
