Dues: Annual (Clubs/APS)

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This form is to be used ONLY FOR 2017-2018 ANNUAL dues

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Club/APS Name *

District (if applicable)

Number of members (including honorary and life members) *

Amount enclosed (Number members x $2.75) *

Check Date (mm/dd/yyyy) *

Check Number *

Your name (person submitting form) *

Your email or phone number *

Print TWO copies before clicking on the Submit button

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*Please note the NEW mailing address for dues payments

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NOTE: Dues are paid for any/all category of club membership e.g. “regular”, “associate”, “honorary” and any member who holds a “life membership” in club, CGCI, Pacific Region and/or NGC.

Annual Dues-Due July 1
Additional Members-Due periodically

1. COMPLETE the form

2. PRINT THE PAGE (click "Print Form" button. Print TWO copies - one to mail and one for your records)

3. SUBMIT AN ELECTRONIC COPY of the form (click "Submit" button)

4. Make Check payable to "CGCI" (Dues are $2.75 per capita effective July 1, 2016)

5. Mail printed form and check to:

CGCI Membership:

*MARTHA SMYSER

4949 MAMMOTH AVENUE

SHERMAN OAKS, 91423-1319

Related Items

Dues: Additional Members Payment Form (For members joining after the initial payment; may be submitted periodically)
Contact Information Form (Annual Report)
Contact Information Update Form

NOTE: If no initial payment is received by October 1 the organization becomes ineligible for participation in the CGCI Awards program and to apply for Liability Insurance or the Group Tax Exemption Program.

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Dues: Annual (Clubs/APS)