Join HSC Form

        P. O. Box 77873
    Corona, CA  92877
Toll Free: (888) 472-4440
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

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