Meeting rent - membership dues - donations

If you would like to mail your Meeting Rent, Membership Dues, or a Donation to the Club; 
please send it to 1279 W HENDERSON, #281, PORTERVILLE, CA  93257
Please include the following information:

RENT:

Date _____________________________________________________________________

AA Group _____  NA Group _____  Other_____

Name of Group _____________________________________________________________________

Amount Enclosed _____________________________________________________________________

Secretary/ Treasurer _____________________________________________________________________

Phone Number _____________________________________________________________________

MEMBERSHIP DUES:

Member Name _____________________________________________________________________

DONATION:

What is the Donation for _____________________________________________________________________

Name or Anonymous _____________________________________________________________________

Phone Number _____________________________________________________________________