P. O. Box 77873
Corona, CA 92877
Toll Free: (888) 472-4440
www.hsc.org
Member Information
Name: ___________________________________________________________________________
Institution Name: _________________________________________________________________
Street Address: ___________________________________________________________________
City, State, Zip: ___________________________________________________________________
County: __________________________________________________________________________
Phone: ___________________________________________________________________________
Email: ____________________________________________________________________________
New Membership or Renewal? (Circle One)
Membership Rates (check one):
______ $30 for a one-year Family Membership
______ $55 for a two-year Family Membership
______ $75 for a three-year Family Membership
I would like to make a donation to HSC of $________________.
Total Payment is $________ (membership/renewal plus donation)
Please make check payable to: HomeSchool Association of California
_____ I would like information on becoming an HSC County Contact.
_____ I am interested in volunteering for HSC.
My areas of interest are: ______________________________________________
Mail to: HomeSchool Assn. of California, P. O. Box 77873, Corona, CA 92877
HSC does not share its members' email addresses with anyone. We only use your email address to contact you with HSC-related questions, activities, or information
