Membership Form
Join or renew Membership with the following form:
Company
First Name
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Last Name
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Phone Number
*
Email Address
*
How did you hear about our chapter?
Street Address
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City
*
State or Country/Province (if outside US)
*
Zip Code / Postal Code
*
Already a member of National?
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Yes, I am a current member of National (CPSA).
No, I have not yet joined National, but understand National membership is required prior to joining this local chapter.
I certify that I am at least 18 years of age
*
Yes, I am at least 18 year of age
I Would Like to:
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Renew My Membership for upcoming year: 6/1/2024 - 5/31/2025
Join DC 108 for upcoming year: 6/1/2024 - 5/31/2025
Payment Option:
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I will send my payment via Paypal
I will mail my payment