CCH Membership Renewal and Payment CommentsThis field is for validation purposes and should be left unchanged.First Name*Last Name*Email*Select your membership LevelMembership Level*Select Membership Level – (click on the arrow to see menu of membership levels then click on the one desired)Individual Membership – One-year $40Individual Membership – Two-year $80Individual Membership – Three-year $120Household Membership – One-year $70Household Membership – Two-year $140Household Membership – Three-year $210Benefactor Membership – One-year $300Benefactor Membership – Two-year $600Benefactor Membership – Three-year $900Student Membership – One-year $15Payment Method*If you select the PayPal payment option, you will see a PayPal button at the bottom of the form which will submit your info and allow you to payPayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number xxxx-xxxx Expiration Date MM/YY Security Code CVV I would be willing to serve on the CCH board of directors:Person completing this form Yes No Spouse/Partner First Name*Spouse/Partner Last Name*Spouse/Partner Name Email*I would be willing to serve on the CCH board of directors:Spouse or partner (household or benefactor only) Yes No I am willing to help with the following CCH committees – Member:Check all that apply. Audio/Visual Book Club CCH History/Archives Communications Community Outreach Finance & Budget Hospitality/Greeters K-12 STEM Mini-grants Membership Non-Traditional Student Education Grants Personal Hygiene Product Distribution Scholarship Social Sunday Brunch and Discussion Group Sunday Science Programs Sunday Science Refreshments Website Maintenance I am willing to help with the following CCH committees – Spouse/Partner:Check all that apply. Audio/Visual Book Club CCH History/Archives Communications Community Outreach Finance & Budget Hospitality/Greeters K-12 STEM Mini-grants Membership Non-Traditional Student Education Grants Personal Hygiene Product Distribution Scholarship Social Sunday Brunch and Discussion Group Sunday Science Programs Sunday Science Refreshments Website Maintenance Please use this space to let us know about: changes to your contact information (e.g. address, phone); special skills you can offer; other personal info or suggestions you’d like to share.Please use this space to let us know about: changes to your contact information (e.g. address, phone); special skills you can offer; other personal info or suggestions you’d like to share.
