JC Sundowners Membership Form

JC Sundowners Membership Form
Use this form for individual or family membership. If 19 years of age or older, your own individual membership is required.
Member Name*

First NameLast Name
Spouse's Name

First NameLast Name
If this is a family membership, list family member's name and age; if under 19 years of age.
i.e. Sally Smith age 18
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Phone Number

Area CodePhone Number
Email*
example@example.com
Email
example@example.com
Commercial Sponsor Website or Facebook Page
Todays Date*

MonthDayYear
Date
Membership Type
prevnext( X )
Standard Membership$27.00

Secondary Membership$12.00

Commercial Standard Sponsorship$105.00

Total $0.00
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