HAOC  Application  Form

NAME___________________________________________ DATE___________

ADDRESS_________________________________________________________

                  _________________________________________________________

PHONE__________________  E-MAIL__________________________________

To receive three free issues of the HAOC monthly newsletter, please check here*

To join HAOC,
   1. Please check the appropriate box corresponding
       to one of the annual dues listed below:
        Regular $15*          Couple $20*           Student $10*
    Sustaining $35*       Sponsor $100*
   2. Please attach a check ( payable to HAOC ) for the corresponding amount.

Please hand this application to an HAOC board member, or mail to:
      HAOC
      420 Sonoma Aisle
      Irvine, CA 92618