2023-2024 SASC Membership Registration Form

2026/2027 Application for Membership
It is not necessary to print this form. Simply fill it out and click the "Submit" button at the bottom. The optional SASCPass is an add-on available to all paid up Members ($30 Annual Dues) who meet the age-60 requirement.
Name

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail

Confirmation Email
Phone Number:

Area CodePhone Number
I am a new member
Birth Date (NEW MEMBERS ONLY):

MonthDayYear
Home Hill
** Crabbe and Farlagne do not currently participate in the SASCPass system
I am primarily a:
Application and Membership Dues
Optional SASCPass
Amount Due:
I will send payment
Certification
Date

YearMonthDay
Date
Should be Empty: