Couples & Business Members: Please provide both names. Name(s):
Address:
City:	State:	Zip:
Phone:
Email Address:

New Renewal - ABATE Local # ________
Current ABATE Membership # ______________ (renewals only)

MEMBERSHIP TYPE: (Check One)	Single	Couple
One Year	$40.00	$60.00
Life	$450.00	$650.00
Gold Business (Includes 2 Single Memberships, Business Card Ad in the Bailing Wire, and Wall Plaque).	$125.00

Note: New members receive a patch, and renewing members receive a year pin.
Patch or pin received? Yes Not Yet

Credit Cards Accepted
Name: (as it appears on card)	Visa Mastercard
Credit Card #:	Exp. date ____/____/____
Signature:

Membership submitted via ABATE of California, Local 6 website. www.abatelocal6.org
Please print out a 2nd copy for your own records & as your receipt.

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Become an active member of ABATE of California!
Join us for the ABATE Local 6 monthly meetings, 12 Noon, 1st Sunday of every month at:
Kate O. Sessions Park, Park Drive., San Diego, CA 92037