easgv dual membership application

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Escrow scrow scrow scrow Associates of ssociates of ssociates of ssociates of San an an an Gabriel abriel abriel abriel Valley alley alley alley DUAL MEMBERSHIP APPLICATION A Dual Membership is defined as a member of the California Escrow Association, in any category, but not with a Regional Membership with the Escrow Associates of San Gabriel Valley. Dual Membership provides for no voting rights in the Escrow Associates of San Gabriel Valley and no membership in the American Escrow Association. The purpose of this Dual Membership is for those that are already a member in the California Escrow Association and would like to receive the member discount for dinner meetings and access to our newsletter. Dual Membership is based on a calendar year, on an individual basis, and is non-transferable. Name: Title: Employer: Mailing Address: City & ZIP: Phone: Email Address: Primary Region: Please complete this form and forward your check in the amount of $25.00 payable to the Escrow Associates of San Gabriel Valley (EASGV) to: Escrow Associates of San Gabriel Valley Attn: Membership Committee P.O. Box 660013 Arcadia, CA 91066-0013 In making this application, I certify that the above is true and correct and I agree to abide by the Bylaws of the above named Regional Association and the California Escrow Association, if appropriate. Date: Signature:

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Page 1: EASGV Dual Membership Application

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DUAL MEMBERSHIP APPLICATION

A Dual Membership is defined as a member of the California Escrow Association, in any category, but not with a Regional Membership with the Escrow Associates of San Gabriel Valley. Dual Membership provides for no voting rights in the Escrow Associates of San Gabriel Valley and no membership in the American Escrow Association. The purpose of this Dual Membership is for those that are already a member in the California Escrow Association and would like to receive the member discount for dinner meetings and access to our newsletter. Dual Membership is based on a calendar year, on an individual basis, and is non-transferable.

Name:

Title:

Employer:

Mailing Address:

City & ZIP:

Phone:

Email Address:

Primary Region:

Please complete this form and forward your check in the amount of $25.00 payable to the Escrow Associates of San Gabriel Valley (EASGV) to:

Escrow Associates of San Gabriel Valley Attn: Membership Committee P.O. Box 660013 Arcadia, CA 91066-0013

In making this application, I certify that the above is true and correct and I agree to abide by the Bylaws of the above named Regional Association and the California Escrow Association, if appropriate.

Date:

Signature: