Important Note:
All information requested is optional and voluntary, except for items
in BOLD and marked with **.
NONE OF THIS INFORMATION CAN BE KEPT CONFIDENTIAL!
MAIL Form and Dues to:
J.A.I.L. For Judges
P.O. Box 207
N. Hollywood, California (91603)
| **Date | - |
| **Name | - |
| Street Address (for Mail) | - |
| **State | - |
| ZIP | - |
| **County | - |
| Area Code & Telephone | - |
| Area Code & FAX | - |
| - | |
| Web Page URL | - |
| **$10.00 Semi-annual Dues | Include check or money order. Please do not send cash.
Sorry, JAIL4Judges cannot accept credit cards, yet. (Please see alternate electronic payment methods in next line.) |
| PayPal | (to be added if approved by Jailer-In-Chief) |
| e-Gold | (to be added if approved by Jailer-In-Chief) |
| VOLUNTEERS and SERVICES | Please write a note here, if you can offer volunteer time, talent,
services or materials!
- - |
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