California Garden Clubs

Membership: Affiliates

New or Renewal Membership Form 2018-2019

CGCI AFFILIATES

are organizations with one or more of the objectives of CGCI and have a membership of at least ten members,
pay annual dues of $50 regardless of size and must be ratified by the Board of Directors,
are NOT eligible for liability insurance, awards program or to apply for the CGCI Group Tax Exemption Program
Affiliates have the option to belong to a district. (Note that districts may have separate dues)

Complete form below

PRINT two copies before submitting (one to mail and one for your records)

Make check payable to: CGCI

MAIL form and check to CGCI Membership Admin Assistant:

Rita Desilets

8316 Sparton Avenue, Van Nuys, 91402-4030

Click "submit" to send electronicallyQuestions: cgcimembership@cagardenclubs.org

Membership Type *

Affiliate New Application

Affiliate Renewal

Affiliate Name *

Affiliate Mailing Address (PO Box or Street, City, Zip+4) *

Do you belong to a CGCI District? *

Yes

No

Districts may have a separate dues structure

If the above is "Yes" please list the district

Website

President/Director (FName LName) *

Mailing Address (PO Box or Street) *

City *

Zip Code + 4 *

Telephone number (555-555-5555) *

Email

Treasurer (FName LName) *

Mailing Address (PO Box or Street) *

City *

Zip Code + 4 *

Telephone number (555-555-5555) *

Email

YES! Check in amount of $50 is enclosed *

Yes

No

Check Date (mm/dd/yyyy) *

Check Number *

Your Name *

Person submitting form

Your email address *

Print form before clicking on Submit

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Membership: Affiliates