Membership Application

Application Fees

1 Year membership in the Central California Koi Society: $40

Name *

Address *

City *

State *

Zipcode *

Email Address *

Phone Number *

Phone Type

  Home
  Work
  Mobile

Do you currently have a Koi Pond? *

yes
no

Do you wish to have your phone number listed on the roster? *

yes
no

Do you wish to have your email address listed on the roster? *

yes
no

Would you like to receive the monthly newsletter by email instead of mail? *

yes
no

Comments:

More Information

For more information please contact Rosimeri Tran at (559) 970-8508