Edmonton Classical Guitar Society
Membership Registration
Membership Renewal?
Renewal
New Member
Name
First Name
Last Name
Date of Birth (If 18 or under)
-
Month
-
Day
Year
Date
Phone Number
-
Area Code
Phone Number
Mailing Address
Street
Street
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email Address
example@example.com
Membership Type
Youth Membership $15.00
Adult Membership $30.00
Partner $60.00
Sustainer $100.00
Donation Type (Optional)
No Donation
Friend of the Society ($20-$49)
Donor ($50-$99)
Benefactor ($100-$299)
Sponsor ($300-$999)
Patron ($1000 and over)
Anonymous Donation
Please check here if you would like your donation to the society to be anonymous.
Payment Options
I wish to send payment by cheque
I wish to pay online with my credit card or paypal account
*
Submit
Clear Form
Should be Empty: