HOW HALL

MEMBERSHIP FORM


Name: ____________________________________

Address: __________________________________

Contact Phone: _____________________________

Sobriety Date: ______________________________

____ $30.00 for six (6) month membership.

____ $50.00 for one (1) year membership.

Do you want a ceramic medallion displayed at
HOW Hall with your name and sobriety date?
____ YES           ____ NO

Please mail your membership payment by personal
check or money-order. (Payable to: H.O.W. Hall, Inc.)

      H.O.W. Hall, Inc.
      Attn: Membership
      P.O. Box 6267
      Huntington Bch., CA 92615-6267