SOUTHERN CALIFORNIA VOCAL ASSOCIATION MEMBERSHIP APPLICATION
(Must be received by November 1st to be included in directory!)

Last Name:_________________________ First Name:______________________ Title:_______

Home Address:_________________________________City:______________________Zip:________

Home Phone:______________________(Circle One) Phone Listed -or- Unlisted in SCVA directory

E-mail:_______________________________________________________________________

Name of District:_______________________________________________________________

School(s) or Other Affiliation:_______________________________________________________

Work Address:________________________________________________________________

City:_____________________________Zip:____________

Work phone: (_____)_____________

Work FAX: (_____)______________

Check Membership category:
____$35 Active        ____$20 Retired       ____$0 Undergrad Students        ____$0 Honorary Life Members

Check level of choir:
____Elementary        ____Junior High        ____High School        ____College        ____Community

Payment may be made electronically via PayPal through the SCVA website (http://www.scvachoral.org ) or by check.  Please make checks payable to SCVA (or include your PayPal confirmation with your application) and mail to:

Sheri Nelson
11875 Mt. Wilson Court
Rancho Cucamonga, CA 91737