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