Membership Application

Please accept my membership application in the California Bursars Association.  I understand that my membership commitment is for one year from June 30 to July 1 of the year indicated below:

NAME                                                                                           

SCHOOL                                                                                       

ADDRESS                                                                                     

PHONE (           )                                                                            

FAX       (            )                                                                            

E-MAIL ADDRESS                                                                      

SIGNATURE                                                                                 

DATE                                                                                              

ENCLOSED IS A CHECK FOR $                                               
                                                          Membership year 2003/2004

ACADEMIC MEMBERSHIP - $150.00

CORPORATE MEMBERSHIP/ SPONSOR -
Contact - Dianne Bean (949) 824-6918

MAKE CHECKS PAYABLE TO:  CALIFORNIA BURSARS ASSOCIATION

MAIL TO:
Irma Torres-Garcia
CSU, Fullerton
P.O. Box 6808
Fullerton, CA 92834-6808