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
2 digit month, 2 digit day, 4 digit yearDate
Membership Type
prevnext( X )
Standard Membership$27.00

Secondary Membership$12.00

Commercial Standard Sponsorship$105.00

Total $0.00
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