Name: ________________________________________________ Phone Number: _________________________________________ Cell Phone: ______________________________________________ Address: ________________________________________________ City: ___________________________ State: ___________ Zip: ________ Email Address: ______________________________________________ ______ I would like to have meeting and business info emailed to me _____ Please do not email me Providers:______ New Membership $50 (We need a copy of your license) ______ Renewal of Membership $50 (We need a copy of your cancelled check from licensing) Capacity: ______ 8 . .or . . ______ 14 ______ Childcare Advocate $25 ______ Student $25 ______ Corporate Member (includes advertising in newsletter) $150 and up We need your help! Please check one or more of the following:_____ I would like to bring refreshments to a meeting _____ I would like to be a greeter at a meeting _____ I would like to help at a fundraiser _____ I would like to be on a committee I’m interested in _____________________ I can help with: _____ Making photocopies _____ Donating door prizes _____ Other |
Send check payable to: FDCASCV, P.O. Box 802232, Santa Clarita, CA 91380-2232
Please allow 3 to 4 weeks processing time.
Members who are more than 30 days late in paying their renewal membership fees will be taken off the next referral list until paid.
Pay with a credit card or through your checking account with PayPal. Just click on a button below. If you do not have a PayPal account, you will need to open one.
You will still need to mail in the form above
We are charged by PayPal to use this checkout system, so the charge is a little higher than if you mail in a check.
$50 per year + $2.00 service charge
$25 per year + $2.00 service charge
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