City _______________________________________ Zip Code _____________________________
Home Number _______________________________ Email ________________________________
Workplace ____________________________________ Work Number ______________________
Membership Type (check one) Going Green Newsletter Option
( ) $35 Regular Member ( ) I prefer to receive SMCSLHA news-
( ) $20 Full-Time Student letters and workshop flyers by email.
(Make sure email address is provided.)
Please detach form and return with a check to:
SMCSLHA c/o Robin Silk
108 Arundel Road, San Carlos, CA 94070
Consider our “Going Green” option. Have our newsletters and workshop flyers emailed to you. You receive information sooner and will be helping to cut down on excess paper usage and mailing costs.
SMCSLHA’s membership runs from September through August. As we have upcoming workshops, it is important that your membership is current with us if you wish to attend our workshops at the member price. Please take a moment to print and fill out the membership form using the button below and mail it back to us as soon as possible.
Membership dues are $35 for 1 year ($20 for current students). With membership you will receive a copy of our Membership directory (available in January), newsletters and workshop flyers, not to mention great prices on our workshops and annual luncheon.
San Mateo County Speech-Language-Hearing Association