Laguna Woods Village PC Club
Membership Application/Renewal Form

Computer-generated Date:

 

Please click the applicable box - one box only.

New Member(s)

Renewal(s)

Member renewing, spouse new member


Please place your cursor (click) in a text box and type the information requested.

Member’s first name, middle initial, and last name:
Spouse’s first name, middle initial, and last name:
(Spouse information is needed only if spouse is joining/renewing.)

Laguna Woods Village Address:
Mailing Address, if different:
Phone: (949)

Member’s email address - if you wish to receive club-related announcements:
Spouse's email address,if different - if you wish to receive club-related announcements:
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Membership dues for 2010 are $10.00 per person. Membership will be good through December 31, 2010.
Membership is open to all Laguna Woods Village residents.
To join, or renew your membership, please fill out this form (either online or after printing), print it, and deliver it, together with your check (payable to PC Club), to the PC Workshop, or mail it to: PC Club, Att: Membership, PO Box 3063, Laguna Hills, CA 92654.