tag:blogger.com,1999:blog-12865570743654205352011-09-02T12:35:43.499-07:00Monicanoreply@blogger.comBlogger11100tag:blogger.com,1999:blog-1286557074365420535.post-91634620154275007442007-01-20T04:57:00.000-08:002007-01-20T05:54:43.484-08:00GuardaMar de Puerto Rico<br />Solicitud de Membresía<br /><br />Favor de imprimir, completar toda la información solicitada y enviar por correo a:<br /><br />Departamento de Desarrollo<br />GuardaMar de PR<br />PO Box 906-5112,<br />San Juan, PR OO906-5112<br /><br />Seleccione un a categoría de membresía:<br />Nueva Membresía_________<br />Renovación #____________<br /><br />$25 Estudiante*<br />$30 Individual<br />$60 Familiar<br />$100 Corporativo<br />$250 Asociado<br />$500 Benefactor<br />$1,000 Patrocinador de Plata<br />$5,000 Patrocinador de Oro <br />$10,000 Patrocinador de Platino<br /><br />*Para estudiantes a tiempo completo. Debe enviar evidencia de matrícula vigente.<br /><br />Información del Socio:<br /><br />Nombre completo:______________________________________________________<br /><br />Dirección postal:_______________________________________________________<br /><br />Ciudad, Estado:__________________________ Código Postal:____________________<br /><br />Teléfono residencial:____________________ Teléfono oficina:_____________________<br /><br />Celular :___________________________Fax:________________________________<br /><br />E-mails: _____________________________________________________________<br /><br />Puesto:______________________ Compañía:________________________________<br /><br />Profesión:____________________ Especialidad:______________________________<br /><br />Método de Pago:<br />Cheque o Money Order ______________________________________<br /><br />Firma:______________________________________________________<br /><br />¿Le gustaría recibir noticias sobre el programa y actividades de socios del GuardaMar a través de su correo electrónico? Si No<br /><br />Gracias!!<br /><br /><br />GuardaMar de Puerto Rico<br />Membership Request<br /><br />Please print and complete the application and mail to:<br /> <br />Development Department<br />GuardaMar de Puerto Rico<br />P O Box 906-5112,<br />San Juan, PR OO906-5112<br /><br />Select a to category of membership: <br />New Membership_________<br />Renewal #____________<br /><br />$25 Student*<br />$30 Individual<br />$60 Family<br />$100 Corporate<br />$250 Associate<br />$500 Benefactor<br />$1,000 Silver Sponsor<br />$5,000 Gold Sponsor<br />$10,000 Platinum Sponsor<br /><br />*For full time students. A copy of a current school id is required for student. <br /><br />Associate Information:<br /> <br />Name:_______________________________________________________________<br /><br />Address:_______________________________________________________<br /><br />City, State: __________________________ Zip Code: ____________________<br /><br />Home telephone: ____________________ Work telephone: _____________________<br /><br />Cell :___________________________Fax:________________________________<br /><br />e-mails:____________________________________________________________<br /><br />Position: ______________________ Company:______________________________<br /><br />Profession: ____________________ Specialty:______________________________<br /><br />Method of Payment: Check or Money Order __________________________________<br /><br />Signature:______________________________________________________<br /><br />Would you like to receive program news and activities from GuardaMar through e-mail? <br />Yes No<br /><br />Thank you!<div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/1286557074365420535-9163462015427500744?l=guardamarmembership.blogspot.com' alt='' /></div>Monicanoreply@blogger.com0