SCZC Membership Pledge Form, 2018-19
Thank you for supporting the Santa Cruz Zen Center (SCZC) with your membership pledge.

Once you submit this form, you will receive an email that contains information on how to process your payment:
-Sign up for automatic deductions from your bank account by clicking the “donate" button at: http://www.sczc.org/membership.html
-Leave a check made out to Santa Cruz Zen Center, with "membership" in the memo line, in the donation box.
-Mail a check to 113 School Street, Santa Cruz, CA 95060. Make sure you indicate that it's your annual membership pledge.

Your address will be used to mail you an end-of-year statement for the purposes of tax deductions and may also be used for other communications from SCZC. Your information will be kept confidential.

Email address *
Preferred First Name *
Your answer
Full Name
Your answer
Complete Mailing Address
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Would you like to be contacted by email with information about events and special occasions?
Pledge
Please indicate your total annual pledge and desired membership categories, which are as follows:

Sustaining Members ($40.00 or more per month):
● After one year of membership, you automatically become a voting member and are eligible to serve on the Board of Directors.
● Full use of our library to check out books, tapes, and CD’s.
● Discounts on classes, sesshins, and other center activities.

Contributing Members (less than $40.00 per month)
● After one year of membership you automatically become a voting member and are eligible to serve on the Board of Directors.
● Full use of our library to check out books, tapes, and CD’s.

Total annual pledge:
Your answer
I plan to make payments toward this amount:
Emergency Contact Info
Name
Your answer
Phone Number
Your answer
Relationship
Your answer
Thank you!
Thank you so much. Upon submitting this form, you will receive an email with the link directly to our PayPal site, or feel free to use the other methods of payment indicated above. The email will also include a pdf of your responses here.

Before you go, feel free to use the space below to let us know of any offerings you would like to see, or see more of, at the SCZC. Do you have any other observations or ideas that you would like the leadership to consider? If so, please let us know or feel free to approach any of the leaders personally!

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