new member registration

Membership Type

Individual
 
Period:
1 Year
 
Renew Date:
2/6/2013
 
Fee:
$40.00
Service Charge:
$1.40
Household
 
Period:
1 Year
 
Renew Date:
2/6/2013
 
Fee:
$60.00
Service Charge:
$1.50
Email Bulletins
 
Fee:
Free
 
Note: You can speed up Sign Up process with Facebook Connect
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First Name:
Required

 
 
Last Name:
Required

 
 
Company Name:
 
Profession:
Required

 
 
Home & Cell Phone:
Required
e.g. 999-999-9999, 9999999999
 
Email Address:
Required
 
Password:
Required

 
 
Confirm Password:
Required
 
 
Street Address:
Required

 
 
City:
Required

 
 
State/Province:
Required

 
 
Zip/Postal Code:
Required

 
 
Country:
Required

 
Place of Origin:
 
Year of More To California:
 
Alumni of:
 
Email Newsletters:
 
Auto Renewal Active:
What's this?
By checking the Auto Renewal box you are simplifying the membership renewal process by automatically renewing your membership when it comes due. In advance of an auto renewal, you will receive two emails prompting you that an auto renewal is impending. To cancel auto renewal, simply uncheck the box at any time.
 

Yes I wish to receive email messages with general information as well as announcements, reminders and updates related to

 




 
 

 
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