SUBSCRIPTION
ONE-TIME $40 PER PERSON

Name:
Name:
Name:
Name:
Name:
                                                              Total:
Address:
       City:
  Zip:            ZIP EXT:
   Phone:
   E-mail:
   Alternate Contact Name:
   Alternate Contact Phone:

Children under 18 are covered automatically.  Subscriber fees are some 30% of our operating expenses.  If possible, enclose a donation to help BAFS continue its work.  BAFS is a 501[c][4] nonprofit; gifts are not tax-deductible.  Please print out and mail this form with a check made out to BAFS to:  BAFS, POB 264, Berkeley CA 94701.  We will send you an instruction packet upon receipt by return mail.  NOTE: If there is a person in or out-of-state who is taking care of a prospective subscriber's affairs, that person should fill in the blanks below so that correspondence can be mailed appropriately:

Name_____________________________________________Relationship_______________
Address___________________________________________________________________
City_______________________________________________St/Prov__________________
County__________________________ZIP/Code_____________________

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Phone:510-841-6653 
email: info@bafsweb.org
Mail: BAFS, POB264, Berkeley 94701