Please print out this form, fill it out, and mail it with your payment to: RSTB P.O. Box 630445 Simi Valley, CA 93063 (Your tax-deductible membership dues check should be made out to: Rancho Simi Foundation) Please enroll me as a New (   ) or Renewing (   ) member of the Rancho Simi Trail Blazers, for the annual donation fee of (circle one): Single.... $10     Family.... $15 Please list names and birthdays for all members (Day & Month Only): Street Address: City, State, ZIP: Phone (work/home): Email Address: Would you like to receive periodic email announcements about club activities? Yes (   )  No (   ) How did you find out about the RSTB?: