2021 Membership Online Application

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Please check out at: https://www.austindeafclub.org/membership

If you are unable to mail out physical membership form, you may pay your membership through paypal then fill up your membership online through here.

If you already mail out your membership form and check, you do not need to fill up here

Any questions, please contact
Membership Coordinators:
Karlee Gruetzner - kr.gruetzner@gmail.com

How did you paid through with? *

Give/send cash

Waveapp

Check or Money order

Someone paid for me

Other:

1.) Today's Date: *

Put down what is date for today that you're register for?

YYYY

2.) Your Full name: *

Put down your first and last name.

3.) Your Birthday Date:

This birthday date will be put down in our monthly newsletter. (We will not put years, just month and day.)

YYYY

4.) Your home address is same? *

Yes

5.) If you have different home address, please put here below here:

6.) Your email address: *

7.) Your membership status for 2021 *

You paid for which status?

NEW MEMBER

RENEWAL

8.) Your membership category: *

You paid for which category?

$100 Regular/Active

$100 Senior Citizen (60+)

$100 Associate (For Hearing / Ages 18-20 / Deaf who live out of state.)

10.) Secretary will mail out the membership card to your home address within 30 days from this date and your membership will start this month to next year.

Yes

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