This page captures general information about your membership; subsequent pages capture additional information about the individual(s) covered by the membership.
Category: Member - Individual ($40) Member - Family ($60) Student - no charge for advance reservations Diplomat - Individual or Family ($150) Statesman - Individual or Family ($300) Consul - Individual or Family ($500) Secretary - Individual or Family ($1000) None - delete this Teacher - Individual ($10) Teacher - Family ($40)
Individual or Family Membership: Individual Family
Mailing Name:
Street Address:
City:
State:
Same as Mailing?
Home Phone:(Cell on next page)
Home Fax:
Home Email:
Contact Preference for Monthly Flyers and the CIRcular:
With a higher level membership, you may decline benefits making the entire membership fee tax deductible. Decline?
