Membership Application

To get more information on our Chapter,

please call or email the Chapter President:

You may submit your membership application using the form below.

Fill out membership application in form below and click Submit button when done.
The next screen that will display will have PayPal buttons that you can use to submit the appropriate payment for the type of membership you selected.
You'll get a confirmation email from PayPal for your payment.
You'll get a welcome email or packet from SCI Sutter Buttes for your membership.

Name:

Spouse:

Address:

City:

Zip Code:

Daytime Phone (including area code):

Home Phone (including area code):

Email:

Fax:

Application Date:

Sponsor:

First Year Dues:	Non National Member ($25 Chapter, $55 National) National Member ($25 Chapter) National Youth Member ($10 Chapter) Non National Youth Member ($10 Chapter, $15 National) please use buttons on next screen to pay with PayPal (after you click submit)
National Member #:


Volunteering Opportunities

I am Interested In Joining:	Board of Directors Committee


Person I Know Who Might Be Interested in Membership
Name:

Address:

City:

Phone (including area code):




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