Membership Form

Name _____________________________________________________________

Address ____________________________________________________________

City _________________________________ State _____ Zip _________________

Telephone _______________________ E-mail ______________________________

___ New Memberships @ $20.00*	Additional Contribution $_______
___ Renewal Memberships @ $20.00*	Total Enclosed $_____________

___ Lifetime Memberships @ $200.00*                                 Total Enclosed $_____________

Please make check or money order payable to: Chandler Family Association

Mail form to:Jim Light 5620 Glen Haven Court San Jose, CA 95129-4101

Questions about membership? Contact:Membership Chair Telephone: 408-334-8795 Email:

September 1 of each year is renewal time for membership in The Chandler Family Association. The annual membership fee is $20 for the first and each succeeding year. This fee goes toward postage, preparation and printing of our newsletter, and annual meeting correspondence and costs. Additional contributions are encouraged and welcomed; these help to support our continuing professional research projects.

*If paying membership fee for more than one person, please list the additional members and their information below or on the back of this page.

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Who is your earliest known documented Chandler ancestor? (If possible, include date and place of birth, marriage and death, and name of spouse.)

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How did you hear about the CFA?
From ___ a relative / ___ publicity / ___ internet search / ___ other (please specify below)