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
