Register

Use the form below to provide your profile details and request access to the member only areas of our website. Your login details will be emailed to the email address you provide.

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Membership Options

	Item	Qty	Total
	Required Items
	Membership - $30.00		$30.00
	Optional Items
	Name Badge--Magnetic - $10.00		$10.00
	Name Badge--Pin (no magnet) - $10.00		$10.00
			$

Directory Preference
Show Profile	Yes
First Name
Last Name
Address
Email Address
Home Phone Number
Cell Phone
What year did you join the club?
Birthday (MM/DD)
Are you a snowbird?
What is/was your profession?
Skills/Attributes/Interests, check all that apply	organizer-chair committee people person - greet and welcome helper (set-up, clean-up) project planning - event planning sell tickets, raise money ask for donations serving food and beverages decorations - design, create and procure focus on school programs bookkeeping or accounting graphic design website maintenance
If you are ordering a badge, how would you like your name to appear?