SAN DIEGO CHAPTER ANG Membership Form

Our chapter dues are $21 per year and our membership year runs from January 1st to December 31st.  Send checks payable to SDANG to: Membership, 717 Las Palmas Dr, Vista, CA 92081-6605. Dues are pro-rated for FOR NEW MEMBERS ONLY. A new member is defined as someone who has never previously belonged to the chapter. Dues are prorated as follows: Jan 1 – Mar: $21, April - June: $16, July - September: $11, October - November: $5, December will be included with next year’s dues. Two year option: $42.

MEMBER INFORMATION:  
First and Last Name:
Birth month and day:
Email Address:
Phone number:
Alternate Phone Number:  
Street Address
Street address – line 2
City
State/Province (put 00 if no state) and Postal or ZIP code
Country if not the USA
CHAPTER INFORMATION:  
Membership type:

New Member (see prorated schedule above)
Renewing Member ($21) Plural Member ($21)

May we list your name and email in the Membership Roster? Yes No
ANG membership number (enter “pending” if just joining). This MUST be included for your membership to be processed.
What is your primary chapter if not San Diego ANG?  
Would you like to switch your Primary Chapter to SDANG? Yes No
Paying for SDANG dues via ** PayPal Check or money order
Signature and date