Muchas Manos de San Diego Chapter Membership Form


Please provide the following information:

Name
Street Address
City
State/Province
Zip/Postal Code & Country
Preferred Phone
Other Phone
Preferred E-mail
Other E-mail
EGA Number (if known)
Birthday (Month & Day)

Choose the type of membership and the month to determine the dues amount (Please make check out to Muchas Manos de San Diego):

Month Primary Plural (Out of Region) Plural (In Region) Chapter (EGA Life Members)
January $12.50  $4.50  $3.75  $4.50 
February $12.50  $4.50  $3.75  $4.50 
March $12.50  $4.50  $3.75  $4.50 
April $50.00  $18.00  $15.00  $18.00 
May $50.00  $18.00  $15.00  $18.00 
June $50.00  $18.00  $15.00  $18.00 
July $37.50  $13.50  $11.25  $13.50 
August $37.50  $13.50  $11.25  $13.50 
September $37.50  $13.50  $11.25  $13.50 
October $25.00  $9.00  $7.50  $9.00 
November $25.00  $9.00  $7.50  $9.00 
December $25.00  $9.00  $7.50  $9.00 

 

 

 

 

 

 

 

 

 

 


Please bring the completed form and payment to our next meeting or contact membership@muchasmanos.org for mailing instructions.   Go to Muchas Manos Home