2022 GUCA/PAC Club Membership
It is easy to join the GUCA/PAC Club. Complete the membership form below and submit payment. You can pledge anytime during the year.
Company Name
*
Name
*
First Name
Last Name
Occupation
*
Personal or Corporate Donation
*
Please Select
Personal
Corporate
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
GUCA/PAC Club Level
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( X )
Bronze Level $200 - $450
$
200.00
Bronze Level
$200.00
$250.00
$300.00
$350.00
$400.00
$450.00
Silver Level $500 - $950
$
500.00
Silver Level
$500
$550
$600
$650
$700
$750
$800
$850
$900
$950
Gold Level $1,000 - $1,950
$
1,000.00
Silver Level
$1000
$1250
$1500
$1750
Platinum Level $2,000+
$
2,000.00
Silver Level
$2000
$2250
$2500
$2750
$3000
$4000
$5000
Submit
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