To complete your gift membership registration, please complete this short form and submit annual dues of $50 via PayPal, to piedmontpnnc@gmail.com (www.PayPal.com). Thank you!

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Gift Recipient(s)
Recipient Phone
Recipient Phone
Gift Giver
Gift Giver
Partner (if applicable)
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Gift Giver Phone

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