Center Membership Dues Form | June-July
Your action is required ONLY IF you are choosing a different option than the one you made for April and May.

If you do not complete the form by May 28, then we will continue your monthly billing at your current status for June and July.

Please contact Lorraine at if you have further questions.
Email address *
During April and May, we asked that you consider options for paying your dues. We are now asking that you consider the same options for June and July. You may choose one of the following options: *
Submit your selection ONLY IF different than the one you made for April and May.
Member Information
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Please sign your name below acknowledging you agree to the selections made above. *
Your answer
Regardless of what option you choose, thank you for being part of the Center community. We are praying for you and your family to stay safe and healthy. Please leave any comments here.
Your answer
A copy of your responses will be emailed to the address you provided.
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