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Join WILS Gamma Chapter

Please fill out the form below and submit by August 31, 2021. Once you submit this form be sure to pay dues here.

Membership Renewal Form 2021-2022

SECTION I: Membership Categories

* Indicates required field

Please check the membership category for which you are applying. *

Active Member - $35 Associate Member - $30 Friend of Gamma Member - $25 Life Member - $0

SECTION II: Member Information

Name *

First

Last

Email *

Agency *

Mailing Address *

Line 1

Line 2

City

State

Zip Code

Country

Was there a change in your contact information above? *

Yes No

Job Title *

Section of Recreation *

Work Phone *

Cell Phone *

Birthday *

Year Joined *

SECTION III: Chapter Involvement (2020-2021)

Executive Board *

Committee Work *

Awards & Scholarships *

Meetings & Events Hosted *

Special Contributions *

National *

Volunteer Work *

SECTION IV: Payment Information

The 2021/2022 membership dues are payable by credit card or check.
Membership is effective from September 1, 2021 to August 31, 2022, Gamma's fiscal year.

Credit Card
Pay membership dues based on membership type at wils-gamma.com/join.

Check
Check amount: Active Member $45, Associate Member $30, or Friend of Gamma Member $25
Check Payable to: Women in Leisure Services-Gamma Chapter
Mail to: City of Costa Mesa- Attn: Marianna Peña
Parks & Community Services Department
P.O. Box 1200
Costa Mesa, CA 92628

How will you be paying for membership? *

Credit Card Check

Submit this form and payment by August 31, 2021.
Renewal forms received AFTER August 31st will be charged a $15 late fee.

Submit