To complete your member registration, please complete this short form and send your annual dues of $45 via PayPal, to piedmontpnnc@gmail.com (www.PayPal.com). Thank you!

Name *
Name
Phone
Phone
Name
Name
Partner (if applicable)
Phone
Phone
Home Address
Home Address
(Only needed if you moved)
Interests
We know your interests may have evolved and we would love to keep current, so please select as many as apply!
Hosting Details
If you are interested in hosting an event in your home, would you be able or interested in accommodating:
By renewing your membership, you agree to our membership terms and conditions. *
Our bylaws and membership terms are available here, on our website. Thank you!

Our bylaws and membership terms are available here, for your review.