Tanheath Membership Renewal
291 Quasset Road Pomfret Center 06259
Please complete information and payment
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Annual Dues are to be paid between the first of the year and the Annual Meeting in April
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Full Membership
$
300.00
Full Member Dues
Introductory Membership
$
150.00
$150 Per Person
Social Membership
$
75.00
$75 Per Person
Junior Membership (21 Years and Under)
$
75.00
$75 Per Person
Subscription
$
250.00
$250 Person
Total
$
0.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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