2024/25 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, 2024 - June 30, 2025
$100 Renewing (*Contact information needed only if changed)
$100 New Member ($50 after January 31, 2025)
$150 Household (2 people at same address, 1 voting member - ($75 after January 31, 2025)
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*
Include me in the Directory*
Yes
No
I am interested in in helping with the following:
Donations/Fundraising
Membership
Programs
Publicity
Refreshments
Social Media
Social Functions & Special Events
Other
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
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: