Application Brandeis Men's Group, L.A.; Brandeis National Committee
Name: _______________________________________________
Address: _____________________________________________
Telephone: ___________________________________________
Cellphone: ____________________________________________
E-mail address:_________________________________________
Annual dues are $50 per year for Brandeis Men's Group (BMG), L. A. membership.
You will be billed an additional $60 for annual Brandeis National Committee (BNC) dues. All dues are tax deductible.
To join, please fill out the form above and mail your $50 check made out to BMG, and a separate check made out to BNC to:
Bernard Schneier
311 Bora Bora Way
Apt 204
Marina del Rey, CA 90292-8305