Date:

_________________

* Name(s):

_________________________________

 May include all family names if desired.

_________________________________

Children:

_________________________________

* Address:

_________________________________

* City, ST, ZIP:

_________________________________

* Home Phone:

(_____)__________________________

Work Phone:

(_____)__________________________

* e-mail:

_________________________________

Occupation:

________________/________________

Original
Hometown

________________/________________

HS or College

________________/________________

Favorite
Browns Player

________________/________________

  Current                          Retired

Please Check All That Apply:
____  New Member    ____ Renewal
____  New Address
 $20   Individual/Family
____ Optional Donation - really helps  your Club (newsletter, Web fees,  player banquet, etc.)
____ Check here if you can
       donate time or services

Make check payable to:
Bay Area Browns Backers
P.O. Box 640400
San Jose, CA 95164

Your Membership Includes:

• Regular newsletters
• Membership card
• Banquet and other group event information
• Access to Brown's game Tickets