Print and return this form with your payment to:
The Dante Alighieri Society of Santa Cruz
P.O. Box 1507
Aptos, CA 95001
Date _______________________
Ms./Mrs./Mr./Dr.___________________________________________________
Business___________________________________________________________
Address___________________________________________________________
City _____________________________________________ Zip____________
Tel. # (h) _______________________ Tel. # (w) _________________________
E-mail___________________________________________________________
Please pick a membership category:
__ Full time student $10
__ Senior (60 +) $25
__ Individual $30
__ Family $50
__ Business membership $100
__ Life time membership $500
__ Additional Donation $________
The Dante Alighieri Society of Santa Cruz is a 501(c)(3) corporation
AMOUNT ENCLOSED $ ________________
(Make checks payable to Dante Alighieri Society of Santa Cruz)
How did you hear about us? __________________________________
Are you interested in becoming a volunteer for Dante Santa Cruz? If so, check one of the following:
______OFFICE TASKS (iMac) ____PUBLICITY _____POSTER DESIGN ______EVENT HOSPITALITY