Funny Business Membership Application

Please print then fill out. Click close to return to clownpages.

	Membership: Regular $18.00 Senior $10.00 (65 and over)

First Name____________________________________________

Last Name____________________________________________

Clown Name(s)________________________________________

Address______________________________________________

_____________________________________________________

Home Phone___________________________________________

Work Phone___________________________________________

E-mail Address________________________________________

Please send me my newsletter by:
Hard Copy E-mail Both
Fill out application and give with check payable to 
Funny Business Clowns 

to any board member or mail to:

Funny Business Clowns 
c/o Paulette Rosen
9852 W. Katella Ave #313
Anaheim, CA 92804