BCHC Membership Form
Verification of BCHC membership is available via
(1) BCHC unit president's reports
(2) BCHC membership chair reports
(3) a self addressed stamped envelope submitted with this form or
(4) a valid email address.

Complete information regarding BCHC Membership is available
on the Membership pages at BCHCalifornia.org
or call (775) 463-3634.

Membership *
Required
DCTR Number
Your answer
Member's Name *
No business names.
Your answer
Spouse / Co-Member's Name
Must share same address.
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Include the area code.
Your answer
Email Address
Your answer
Membership Type *
Parent Unit Affiliation *
Associate Memberships
An additional $15.00 per unit is added to your parent unit dues. Associate membership unit affiliations may not be for the same unit as your parent unit.
Your answer
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