2026 CPC Online Membership Form

2026 CPC Online Membership Form
Memberships valid January 1st to December 31st each year

Renewals due by January 1st

For First Time New Members ONLY, join on or after July 1st of current membership year and receive 50% discount for remainder of year:

Discount does not apply to next year membership

Discount does not apply to late renewals or lapsed past memberships

Fields marked with * are required
Select:*
Date*

MonthDayYear
Contact Information*
Email*
Membership type (select all that apply):*
I/We wish to receive the club Newsletter (minimum 8) by Email:*
I/We wish to disclose the following information in the Club's membership directory when published (please select all that apply)*
Payment Method - Instructions are displayed upon form submission*
Optional - Additional donation to the Club (please enter amount):
New Member? How did you hear about the club?:
Signature - Implies consent in place of a hand-written signature for membership and privacy consent*

For Office Use Only: