BEACH BOYS FAN CLUB
Membership Application

To join, print out this coupon, fill it out, and mail it to us with check or money order in U.S. currency. Send $5 ($8 overseas) to:

BEACH BOYS FAN CLUB
50 S. Emery St. #4E
Pahrump, NV 89048
U.S.A.

Please print clearly!

NAME________________________________________________________________


ADDRESS_____________________________________________________________


CITY________________________________________________________________


STATE______________ COUNTRY__________________ ZIP/ZONE______________


E-MAIL______________________________________________________________


Do not send cash. Allow 4-8 weeks for delivery. If you can't print the form out, you may send in the requested information on a plain sheet of paper. You do not need to include an SASE when sending payment.