MEMBERSHIP FORM
Name
*
Spouse (for couple registration)
Address
*
Phone Number
*
Email
*
MEMBERSHIP LEVELS:
Total Amount Enclosed:
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Basic Membership
$
40.00
Individual or Couple Membership
Individual
Couple
Reagan Challenge Membership
Includes Christmas Party tickets for 2023 & 2024
$
100.00
Individual or Couple Membership
Individual
Couple
Eisenhower Victory Membership
Includes Christmas Party tickets for 2023 & 2024; recognition on website; designated table at meetings; 1 Community Meeting sponsorship)
$
500.00
Individual or Couple Membership
Individual
Couple
Lincoln Legacy Lifetime Membership
Includes lifetime Christmas Party tickets & convention fees; recognition on website; designated table at meetings; 1 community meeting sponsorship; no membership expiration
$
1,000.00
Individual or Couple Membership
Individual
Couple
Payment Methods
Credit Card
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
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