SOCIETY FOR CREATIVE ANACHRONISM INC - PDF document

FREATHVE ANAF+RONHSMÆ PBOB Box 360E  MilpiPMsÆ FMliforniM  ED036-0E USA  Tel 40 263-E30DÆ 00 E-46 FMx Sustaining ;$ϰϱ.ϬϬ) ‐ Includes immediate access to SCA electronic newsleÆ©ers and puďlicaƟons. Sustaining memďers may purchase printed puďlicaƟonAssociate ;$ϯϬ.ϬϬ) ‐ Memďership only. Associate memďers may not purchase Family ;$ϭϬ.ϬϬ each) ‐ One addiƟonal adult and any children age Ϯϭ and under, residing at the same address as a Sustaining Memďer. Family Memďers haǀe the ip. A madžimum of $ϯϬ will ďe collected for family    MEMBERSHIP CATEGORIES  I, the undersigned, do hereby state that I wish to participate in activities sponsored by the international organization known as the Society for Creative Anachronism, Inc., a California not-for-prot corporation (hereafter “SCA”). The SCA has rules which govern and may restrict the activities in which I can participate. These rules include, but are not limited to: Corpora, the By-laws, the various kingdom laws and rules for combat related activities. The SCA makes no representation or claims as to the condition or safety of the land, structures or surroundings, whether owned, leased, operated or maintained by the SCA. I understand that all activities are VOLUNTARY and that I do not have to participate unless I choose to do so. I understand that these activities are potentially dangerous or harmful to my  Sustaining  $ϰϱ.ϬϬ  Associate $ϯϬ.ϬϬ  Family ;no charge aŌer ϯ family memďers) $ϭϬ.ϬϬ  AddiƟonal DonaƟon ;Tadž‐DeducƟďle) $_______            Memďership Total  $_______ ϯ ‐ MEMBERSHIP PURCHASE;OpƟonal—if you list your SCA Name it will ďe printed on your memďership card,  ďut the SCA College of Heralds handles the actual registraƟon of Society names.) U.S. MEMBERSHIP APPLICATIONForaddressesservedPostalServiceonly) Check off each suďscripƟon, and total ďelow: ____  Kingdom newsleÆ©ers at $ϯϱ each =         $_______ Quarterly Printed PuďlicaƟons:  Tournaments Illuminated   uring arƟcles aďout life in the SCA, as well as research, columns, and reǀiews. Board of Directors MeeƟng MinutesCompleat Anachronist   each focusing on a  topic releǀant to pre‐ϭ7th century life.                                Total OpƟonal PuďlicaƟons _________    Total of Memďership and PuďlicaƟons:          $_________ for Two‐Year Renewal: Total Payment dž Ϯ     $_________ for Three‐Year Renewal: Total Payment dž ϯ  $_________ Check or Money order payaďle to SCA, Inc.     ϰ ‐ ADDITIONAL PUBLICATIONS ;OPTIONAL)  ϱ ‐ TOTAL AND PAYMENT METHOD        ;U.S. Funds) Month         Year        Signature  Legal Name (PRINT) Legal Name (SIGN) Parent/Guardian (SIGN) Date used for internal administraƟǀe purposes and shall not ďe sold or otherwise distriďuted aďsent permission or Card EdžpiraƟon Date CVV     MPLETELY OR IT WILL BE RETURNELegal Name   Address        City     State                                       Zip Phone          CHANGE OF ADDRESSEmail address                            ; ϭ ‐  MEMBER INFORMATIONPrint or type clearly  Memďerships are effecƟǀe immediately upon receipt of properly completed applicaƟons and payment. Paper suďscripƟons may take ϰ‐7 weeks for processing. For confirmaƟon of memďership, send a self‐addressed enǀelope. We cannot send fadž confirmaƟon.   NO REFUNDS AVAILABLE.                                              FOR REGISTRY USE ONLBank Numďer _______________________________________ Memďership Numďer                                               Reǀ ϲ/Ï­9  EffecƟǀe ϲ/Ï­/ϮϬϭ9