Come On and Join Up! It's tax deductible also!

Membership Application

Annual Fee is $30.00 per family

Koi USA Magazine is an additional $20.00, normally $24.00

Name__________________________________________________

Street                                                City                                Zip Code                    email address

Phone_________________________

Would you like to host a meeting at your home?        Y        N

Do you own a pond, or planning one?                       Y        N

If you have a pond, how many gallons?

How many years have you been involved with Koi?

Please send check payable to SFBAKC to SFBAKC, 688 Fiesta Place, Hayward, CA  94544