2019 Member Registration Please submit this online form or download a printable copy (link below), along with your contribution, to register for the 2019 Association meeting. General Information First Name * Last Name * Address * City * State/Province * Postal Code * Country (if not USA) New or updated address information for you? No Yes Phone (home) * Phone (cell) Email address * New or updated email address for you? No Yes Contributions General Fund (please enter $ amount): For normal expenses incurred in running the Association. Dues ($50.00) go into this fund. Assistance Fund (please enter $ amount): For assisting members with travel to and from the Annual Association Meeting. Please send tax receipt (over $250.00) Yes No Lunch We are offering the “Sandwich & Wrap Platter,” served buffet style at Arden Wood. The platter includes pre-made sandwiches & wraps: Grilled Chicken Breast, Ham, Turkey, Tuna Salad or Vegetarian (for Vegetarian wrap, you must specify below). Pasta Salad, Seasonal Fresh Fruit, Assorted Cookies & Bottled Beverages included. $15.00/person (including tax) Select lunch option Please select one Sandwich & Wrap Platter Vegetarian Sandwich & Wrap Platter No lunch, thanks Total Please make payment to: CS Association of the Pupils of Ron Ballard, CSB. Mail this form with payment to Association Secretary (address below). Dues may be paid in advance or on Association Day. However, lunch must be prepaid with your registration. Amount remitted (please enter $ amount): Include $15.00 if ordering lunch. This field should be left blank Submit Please wait... Download printable copy of this form Please mail your dues and/or lunch payments to: Peter Whitmore 8240 126th Ave NE, #A103 Kirkland, WA 98033
