ACSA Region 13 - Sign Up Form

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Board of Directors

·	2006-07 Meeting Schedule

·	State ACSA Councils and Committees

Charters

·	San Luis Obispo

·	No. Santa Barbara

·	So. Santa Barbara

·	No. Ventura

·	So. Ventura

·	Simi Valley Moorpark Management Association

COLVOP

On-Line Member Registration

·	Login to Up-date Your Account Information

Complete the form below to register your membership with your charter. Thank you for participating.

If you are not an ACSA member, and would like to join, you will be able to download an application and mail it to state ACSA as soon as this year's application is available from the ACSA web site.

Required fields are indicated with *
Personal Information
Salutation	Mr. Mrs. Ms. Dr.
* First Name
* Last Name
* Email Address
* Password	(4-16 characters)
* Password Again
Your email address and password will be used for modifying your information or signing up for events online

Contact Information
* Work Address
Work Address 2
* City
* Zip
* Phone
Fax
Employment Information
Please complete all fields that apply to your employment situation.
* Position
School
School District
County Office
Other	(If you are retired or work for a university, please indicate here)
ACSA Information
* ACSA Member Since	(eg. 1997)
* Charter	San Luis Obispo N. Santa Barbara S. Santa Barbara N. Ventura S. Ventura Simi-Moorpark CoLVOP
* Member Type
Region Board Position	(leave blank if not holding a position)
Charter Board Position	(leave blank if not holding a position)
Interested in becoming a board member? Yes No

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