RENEW MEMBERSHIP

Your annual membership period runs from July 1 – June 30. The renewal period begins July 1 and ends August 31.

Renewal rates are as follows:

• Active: $45
• Student (ages 16-22): $15
• Dual (primary membership with another branch): $25

Instructions:

You will be sent a reminder email on July 1st, when it is time to renew your membership. Follow the instructions in the email to link to the renewal form. You will receive a reminder email every week in July and August until you renew or let us know you are not renewing.

Or you may use the form below to renew your membership.

Membership: Renew Your CWC Membership

Name(Required)

First Last

Pen Name (Optional)

First Last

Email(Required)

Contact Information(Required)

My contact information has NOT changed.

My contact information has changed. Please update my records.

My New Address (Leave blank if this has not changed)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country

My New Email Address (Leave blank if this has not changed)

My New Phone Number (Leave blank if this has not changed)

Can you support Mt. Diablo Branch by volunteering?(Required)

I would be available to help participate with a specific program or event

I would like more information about committees or chair opportunities

I would like more information about becoming part of the board

I can help occasionally with an event

I have technical skills in Word Press website, social media, accounting

I cannot volunteer at this time.

Select the Membership Level to Renew(Required)

Renew Regular Membership – $45.00

Renew Dual Membership – $25.00 (You must renew your membership with your primary branch before renewing with a dual branch.)

Renew Student Membership – $15.00

If renewing student or dual membership, please indicate your school and grade, or primary CWC branch.

If you have a Coupon Code, enter it here.

Total

How would you like to pay?

PayPal or Credit Card

Check

PAYING BY CHECK
Use the buttons below if you are paying by check or cash.
Upon submitting this form, you will receive a confirmation email with a copy of this form. Print the form and mail with your check payable to “CWC-Mt Diablo” and write

Mail check to:
CWC-Mt Diablo
P.O. Box 606
Alamo, CA 94507

If you are paying by cash at our next meeting, please bring a copy of this form with you.

Questions or problems with the registration process? Contact Marlene at webmaster@cwcmtdiablo.org.

We do not share your personal data with anyone. See our Privacy Policy.

Payment Method (To pay with your PayPal account: Choose PayPal Checkout. To pay with a credit card: Choose Credit Card)

PayPal CheckoutCredit Card

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number Expiration Date   Security Code Cardholder Name

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