Life Membership Form

Please complete the form and submit an online payment for $400.00. Life members never have to pay dues again. Your membership card will be sent to you via mail. If you would like to contribute to the Tax-Deductible CBD Scholarship Fund, please indicate the amount contributed and include the donation in the payment section. Electronic receipt will be sent to you.
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 IF THERE ARE NO CHANGES TO YOUR INFORMATION AS LISTED IN THE 2018 MEMBERSHIP DIRECTORY, PLEASE ONLY PROVIDE YOUR MEMBERSHIP NAME AND NUMBER. PLEASE INCLUDE ONLY CHANGES ON THIS FORM. FIRST TIME APPLICANTS TYPE N/A FOR YOUR MEMBERSHIP NUMBER.

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