2025/26 & 2026/27 Membership Application
Fill out the form completely and Make Payment via check or on-line. www.pointlomaassembly.org - 501(c)(3), Tax ID #95-2477318
Status for July 1, 2025 - June 30, 2026 or July 1 2026 - June 30, 2027
$100 Renewing (*Contact information needed only if changed)
$100 New Member ($50 if joining after January 31, 2026/27 until June 30 of same year)
$150 Household (2 people at same address, 1 voting member - ($75 if joining after January 31, 2026/27 until June 30 of same year)
Member information Update only
Name
First Name
Last Name
Address*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail*
example@example.com
Phone Number for Directory*
Format: (000) 000-0000.
Include me in the Directory*
Yes
No
After Submitting the form below I will Pay for my Membership using the Option checked below:
*
Mail a check to Pt. Loma Assembly PO Box 60174 San Diego CA 92166
Pay online from link on Membership "Join/Pay/Update" link of Assembly Website
I am interested in in helping with the following:
Donations/Fundraising
Membership
Programs
Publicity
Refreshments
Social Media
Social Functions & Special Events
Support Cabillio Elementary: ACCESS)
Other
SUBMIT APPLICATION FORM - Then Pay by Mail or via "Join/Pay/Update" link on Assembly Website - Submitting will not take you to payment page
Should be Empty: