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Note: Payment will be drawn by SEE on the 15th day of the month.         My preferred method of payment is:
Automatic CreditCard Draft Charge my Visa MasterCard Discover/Novus Name on Card: Card #:              Exp. Date:	Automatic Bank Account Draft Name on the Account: Account #:                    Bank Routing #:           Bank Name:

· I understand that my contribution is fully tax deductible.
· My membership fee will be solely used to benefit the outreach and advancement of LAAC parent education programs.
· For further questions please call (626) 798-1592

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E-mail the Calendar of Events & Family Voices Newsletter
Mail the Calendar of Events & Family Voices Newsletter


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Thank you for your COMMITMENT

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