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CORDOVA BAY 55 PLUS ASSOCIATION
Pay for 2021 membership renewal by PayPal or credit card
* required information
Last name
*
First name
*
email address
*
Partners name if appplicable
Payment Options
You can pay for yourself and your partner or spouse together.
Discounted membership - self- $30
Discounted membership - partner - $30
Regular membership - self - $40
Regular membership - partner - $40
Men's fitness - $30
Women's fitness - 10 sessions - $40
You must calculate the total of the order before checking out
$0.00
Calculate
Change Contact Information
Please help us by informing us of any changes to your contact information.
Only changes need be listed here
.
Home address
Home phone
Cell phone
email address if different from above
Emergency contacts
Last name - emergency
First name - emergency
email address - emergency
Payment is by PayPal
OR
credit card.
You may use your PayPal account if you have one.
TO PAY BY CREDIT CARD
continue to the order confirmation page and click the
PayPal
button.
On the PayPal page select the credit card option.
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