(Please print this document and fill it out legibly)
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Membership Number: |
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| Last Name | ||
| First Name | ||
| Mailing Address | ||
| City | State/Country | ZIP+4/Postal code |
| E-mail address | ||
| Telephone | ||
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Select your info services password: |
VOLUNTEER DETAILS
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What
skills I have to offer: |
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VOLUNTEER OPTIONS
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Departments for which I would like to volunteer: |
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COMMENTS:
| I hereby certify that I am least 18 years of age. I have read, understood, and agree to the Rules and Conditions of Membership and reaffirm all conditions and agreements contained on my original application for Membership. | |
| PRINTED Legal name of Applicant:: |
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| Date:
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Signature:
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Submit
this form in person along with Annual Dues of $50,
Member ID Card and Picture ID.
If submitting via postal mail, enclose $50 (made out to "Threshold Inc"), a copy of your Member ID and Picture ID and mail to:
Attn: Membership
The Threshold Society, Inc.
12814 Victory Blvd. #282
North Hollywood, CA 91606-3013