California Association of Park & Recreation
Commissioners & Board Members (CAPRCBM)
a non-profit corporation  # 94-3197078
Business Office - PMB #157
1840 Prairie City Rd, Suite 100
Folsom, CA 95630-9579

Annual Dues Invoice July 1 - June 30

For A Commission/Board of                    members$ 175Total  
   
Total amount enclosed$                      

Please attach a list of your Commission/Board including home addresses.

Date paid                                            

Mail this form and your member list with your remittance to:

CAPRCBM
Paul Romero Executive Director
(916) 799-5908
PMB #157
1840 Prairie City Rd, Suite 100
Folsom, CA 95630-9579

fax: (916) 985-1106

This is a

 Board

 

Commission

which is representing a

 City
 County
 District

 

They are: Elected Appointed
 
Name and Title of person filling out this form:

Name:

 

Title:

 

Telephone:

 

E-Mail:

 

Agency Name:

 

Administrator:

 

Agency Address:

 

Agency City:

 

 

 

Agency Zip:

 

Please keep information current by sending changes to us as soon as they occur.

o This Commission/Board would like to have a training session in our region

Thank you for your support

If you need more information please follow the link below for help

E-mail CAPRCBM for more information.