2019 Membership Dues Form

 

2019 DPCNC DUES RENEWAL

 

There are two levels of membership; Regular and Associate. Please mark your choice. You may change from Regular to Associate or Associate to Regular at renewal time only

Make check payable to DPCNC. Dues are due by January 1, 2019.

Please return this form with your check

Mail to:

Donna Irvine, Membership Secretary

1349 Milton Avenue

Walnut Creek, CA 94596

Name(s) ________________________________________________

Address ________________________________________________

Home Phone (_____)_____________ Mobile Phone (_____)__________

** E-Mail _______________________________ Please send my newsletter via e-mail

** Even if you don’t have your Newsletter sent via email Please update your address

Web site ___________________________________________________

 

Regular_______@$22.00 per person =$____________

 

Associate______@$17.00 per person =$____________

 

Dues are payable on or before the 1st day of January of each year.  No member may vote whose dues are not paid for the current year.

TO AVOID BEING DELINQUENT, RENEWALS MUST BE POSTMARKED NO LATER THAN JANUARY 31, 2019

 

 

Leave a reply