Samuel Knight Chapter Membership Application

 

 

Name:

 

 

Address:

 

 

City, State, ZIP:

 

 

Phone:

 

 

Email:

 

 

(Chapter policy is to never disclose email or other member information. Using email enables low cost, timely information for our members.)

 

Tell us about your interests:

 

 

 

 

 

 

 

 

 

Send this form and a check for $10 to “Samuel Knight Chapter” to

Jay McCauley

1350 Vance Drive

San José, CA 95132-2455

 

Membership is on a calendar year basis, 1 Jan – 31 Dec. The Chapter strongly encourages its members to also join the national SIA.