Click here to print this page and send completed form with payment to the address shown below. MEMBERSHIP DUES PAYMENTS CYCLES ARE BEING ADJUSTED TO JANUARY 1 - DECEMBER 31 IN ORDER TO MATCH THE AIHA NATIONAL DUES.

Annual Membership Dues:
June-December 2008: $20.00
June-December Student Membership: $10.00 (Full-Time Students, or Unemployed)
Retired: No Charge

Name*__________________________________________ CIH?: ____Yes ____No

Company___________________________________________________________

Mailing Address*____________________________________________________

City__________________________ State________________ Zip code ________

Telephone*_______________________________ Fax_____________________

Email______________________________________________________________
* Name, Address and Telephone Number will appear in the membership directory

Amount Enclosed ____$20.00 ___$10.00 ___Retired
Address Change ____ Yes ___ No
Are you a member of National AIHA? ____ Yes ___ No

Make Checks Payable to SCAIHA and return form with check to:
SCAIHA - C/O HARRIS TRAN MEMBERSHIP DIRECTOR
9 Santa Rosa Ct.
Manhattan Beach, CA 90266

Southern California Section member benefits: Support legislative advocacy of the IH profession through the California Industrial Hygiene Council (CIHC), Reduced Southern California Section meeting charge, Local Section newsletter “Weighted Times ”, Networking through meeting announcements & social activities, Reduced Technical Symposium registration fees

SCAIHA Tax Payer Federal I.D. # 51-0188342