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KIPCUG Membership Payment Form
(This form will be submitted to the KIPCUG Treasurer)

Current Members:
Please choose one of the 4 following Membership Categories:

New Members: 
If you have arrived here after completing your Membership Application - Continue with your Membership Type to submit your payment to our Treasurer.
If you have not completed your "Membership Application" - Please complete "Page 1" before submitting this payment form.  Thank you.

Single or Individual Membership
$40.00 Annual

Member's Name:

Your E-mail Address:

(Click Blue Button)
 Student Membership
(Full Time)
$20.00 Annual
Student's Name:
Your E-mail Address:

(Click Blue Button)
Family Membership
$55.00 Annual
Member's Name:
Your E-Mail Address:

(Click Blue Button)

Note:
You will be requested to enter your two (2) Family Member's names near the bottom of the registration form.
Please add your Membership Number if you know it.

 Corporate Membership
$160.00 Annual
Corporate Name:
Your E-Mail Address:

(Click Blue Button)

Note:
You will be requested to enter up to four (4) Corporate Member's names & e-mail addresses near the bottom of the registration form.

KIPCUG has chosen PayPal to process its on-line renewal form because of their high level of security.  Your information is128-bit encrypted.  For additional security PayPal will process your renewal but never pass on your personal information.

Note: Within the Registration form:  PayPal uses "Shipping Address" to also mean "Mailing Address"

  
     
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