Membership Form Type of Registration (required) New MemberRenewal The dues are: Your Name (required) Your address (required) Your city (required) Your state (required) Your zip (required) Birthday Month and Day mm/dd (optional) Your Email (required) Primary Phone Number (required) homecell Secondary Phone Number (optional) homecell Emergency Contact (required) Emergency Contact Phone Number (required) What topics/activities would you like to learn about at TOWN meetings/events? How did you hear about us? Membership Roster We email a quarterly membership roster of our members ONLY to our members. It is NOT posted online. The roster includes your name, email address, and primary phone #. Please select below to show your preference: YES, include me in the TOWN ROSTERNo, do not include me in the TOWN ROSTER Please read TOWN Assumption of Risk and Release of Liability. Checking the box shows that you read and accept the terms. Membership Cost Price: $21 including processing fee for renewals and new members who register before August 1. New members registering between August 1 and November 30 pay $11 including processing fee.
