3 Year Renewal Membership

Please fill out this form as completely as you can, then click the Pay Now button for secure payment of $25.00 via PayPal. You will soon thereafter be contacted by our secretary with a confirmation of your renewal.

Please be aware that PayPal sets up an automatic renewal for you; if you do not want this feature, you can cancel it on the PayPal website, www.paypal.com. 

My (Our) Name(s) (Joe/Mary Smith)
My Street Address
My City
My State / Province
My Postal (Zip) Code
My Country
My Email Address
My Phone Number

Renewal occurs Dec 31st