SSA Membership Application

Name:

Mailing Address:

Phone Number:

Email Address:

Website Address:

Occupation (optional):

Employer (optional):

Grade(s) and subject(s) taught, if any:

Are you applying for a "Basic Membership" ($7) or a "Commercial Membership" ($30)?

How can the SSA best serve you?

Please mail the completed application and a check for $7 (Basic Membership) or $30 (Commercial Membership) to:: Science Songwriters' Association; P.O. Box 3531; Vista CA 92085-3531

Questions? Contact SSA president Lynda Jones at .