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Club Membership Registration
Complete the form below to sign up for our membership service.
Applicant Name
*
First Name
Last Name
Email
*
example@example.com
Cell Phone Number
*
Please enter a valid phone number.
Applicant Name - Fill out if applying as a couple
First Name
Last Name
E-mail - Fill out if applying as a couple
Cell Phone Number: - Fill out if applying as a couple
-
Area Code
Phone Number
Land Line Phone Number
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Address:
*
Street Address
Street Address Line 2
City
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State
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Issues
Check all that apply to you.
The Economy
Good Jobs
Economic Security
Economic Fairness
Support for Small Business
Justice
Criminal Justice Reform
Comprehensive Immigration Reform
Civil Rights for All People
Human Rights for All People
Equal Rights for Women
Climate Change
Build a Clean Energy Economy
Protect Public Lands and Water
Education
Universal Preschool
Debt-Free College
Health and Safety
Universal Healthcare
Reproductive Rights
Preventing Gun Violence
Democracy
Protect Voting Rights
Fix Campaign Finance System
End Gerrymandering
Local Issues
No High-Speed Rail
Public Transportation
Cultural Enrichment
Meal on Wheels
Tax Relief
Better Schools
No Tax Giveaways to Big Business
More Parks and Park Activities
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Membership Types
Select the option that best fits your budget.
Once you submit your application, we will contact you shortly to complete your membership application.
Thank you!
Memberships - Choose What Fits Your Budget
Categories:
All
All
Contributing Memberships
Standard Memberships
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Contributing Memberships
$100 Gold Member or Couple
Gold Member Contribution Membership
$
100.00
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$75 Silver Member or Couple
Silver Member Contribution Membership
$
75.00
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$50 Bronze Member or Couple
Bronze Member Contribution Membership
$
50.00
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Standard Memberships
$5 Standard Student Membership
Standard Membership for Students
$
5.00
Quantity
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$25 Standard Individual Membership
Standard Membership for Individuals
$
25.00
Quantity
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$35 Standard Couple Membership
Standard Membership for Couples
$
35.00
Quantity
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$15 Standard Senior Membership
Standard Membership for Seniors
$
15.00
Quantity
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Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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