 Department of California 401 Van Ness Avenue, Rm. 113 San Francisco CA 94102-4586 (415) 861-5092 FAX (415) 861=8365 E-mail: calegionaux@calegionaux.org Web Site: www.calegionaux.org Membership Year - Unit Data Form Form must be completed and returned to Department Secretary/Treasurer by March 1st YEAR: Senior Unit Dues wil be: $ YEAR: Junior Unit Dues wil be: $ Information about person to receive membership dues: Name: Membership # Address: City: Zip Code: Phone: () Fax: () Signature: ________________________________________________________________________________ Title: Date: |