SECA Membership Form

SECA Membership Form
Web Page

Name______________________________________________________________
Clown Name ________________________________________________________
Address ___________________________________________________________
City ________________________________ State ________ Zip_____________
Phone ( ) ________________________ Email __________________________________

Individual ....................................................... $15 Each X _______ _____________________
Family $6 for each additional person ............. $ 6 Each X _______ _____________________
Total enclosed _____________________

ckboxI would like to receive a color copy of the Giggle Gazette electronically rather than a black and white copy sent through USPS.

Make checks payable to SECA and mail to:
Dianna "Lil' Smidgen" Hale, Treasurer, 1013 Way Thru The Woods, Decatur, AL 35603

** Individual Memberships are $15 for the calendar year (January through December). Family memberships are $6 for each additional clown. So, if you have two family members joining SECA, you would send in $21 ($15 for the first member plus $6 for the second member).