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Membership Application
From Dunham-Singletary Family Connections
(Difference between revisions)
(Created page with " <emailform> {| | Full Name: || <emailform name=40 /> |- | Street Address: || <emailform street_address=40 /> |- | City: || <emailform city=40 /> |- | State: || <em...") |
(→Select your Membership Support Level - Note: This section is being Updated) |
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| + | ==Select your Membership Support Level - Note: This section is being Updated== | ||
| − | + | {| style="background:#ffffff;color:black;width:80%;" border="1" cellpadding="5" cellspacing="10" | |
| + | |||
| + | | style="background:#FFE4B5;color:black;width:25%;" align="center" | DGRA Member - $25.00 || style="background:#deb887;color:black;width:25%;" align="center" | Bronze Membership - $50.00 || style="background:#C0C0C0;color:black;width:25%;" align="center" | Silver Membership - $75.00 || style="background:#ffd700;color:black;width:25%;" align="center" | Gold Membership - $100.00 | ||
| + | |} | ||
<emailform> | <emailform> | ||
{| | {| | ||
| Line 9: | Line 13: | ||
| City: || <emailform city=40 /> | | City: || <emailform city=40 /> | ||
|- | |- | ||
| − | | State: || <emailform state=40 /> | + | | State/Province: || <emailform state=40 /> |
|- | |- | ||
| − | | Zip/Postal Code: || <emailform zip= | + | | Zip/Postal Code: || <emailform zip=40 /> |
|- | |- | ||
| Country: || <emailform country=40 /> | | Country: || <emailform country=40 /> | ||
| − | |- | + | |- |
| + | | Phone Number : || <emailform phone=40 /> | ||
| + | |- | ||
| Email: || <emailform email=40 /> | | Email: || <emailform email=40 /> | ||
|- | |- | ||
| Website: || <emailform website=40 /> || (optional) | | Website: || <emailform website=40 /> || (optional) | ||
|- | |- | ||
| − | + | | Comments: | |
| − | | Comments: | + | |
| colspan="2" | <emailform comments=80x8 /> | | colspan="2" | <emailform comments=80x8 /> | ||
|- | |- | ||
| colspan="3" align="center" | <emailform submit="Submit Application" /> | | colspan="3" align="center" | <emailform submit="Submit Application" /> | ||
|} | |} | ||
| − | </emailform> | + | </emailform> |
| + | '''The Annual Membership Support begins at $25.00'''. After you click on "''Submit Application''" you will be prompted to click on a paypal "add to cart" button to complete your membership renewal. | ||
| + | |||
| + | |||
| + | Thank you for your membership. | ||
| + | Your information has been transmitted; Please complete payment for your Membership via PayPal by clicking on the add to cart button below. | ||
| + | To pay for Bronze, Silver or Gold you can use multiples of $25.00 or send a check at this time. If you have questions please use the Contact Us | ||
| + | button under Navigation to the left - Attn: DGRA Treasurer. | ||
| + | <emailform result> | ||
| + | <html> | ||
| + | |||
<emailform result> | <emailform result> | ||
Thanks for your registration. | Thanks for your registration. | ||
| − | + | Your information has been transmitted; Please complete payment for membership via PayPal by clicking on the add to cart button. | |
| − | + | ||
| − | + | <html> | |
| − | + | ||
| − | + | <form target="paypal" action="https://www.paypal.com/cgi-bin/webscr" method="post"> | |
| − | + | <input type="hidden" name="cmd" value="_s-xclick"> | |
| − | + | <input type="hidden" name="hosted_button_id" value="W3D6A9HPVGPFL"> | |
| − | + | <input type="image" | |
| − | + | ||
| − | + | src="https://www.paypalobjects.com/en_US/i/btn/btn_cart_LG.gif" | |
| + | |||
| + | border="0" name="submit" alt="PayPal - The safer, easier way to pay | ||
| + | |||
| + | online!"> | ||
| + | <img alt="" border="0" | ||
| + | |||
| + | src="https://www.paypalobjects.com/en_US/i/scr/pixel.gif" width="1" | ||
| + | |||
| + | height="1"> | ||
| + | </form> | ||
| + | </html> | ||
</emailform> | </emailform> | ||
Latest revision as of 19:51, 13 January 2021
[edit] Select your Membership Support Level - Note: This section is being Updated
| DGRA Member - $25.00 | Bronze Membership - $50.00 | Silver Membership - $75.00 | Gold Membership - $100.00 |
The Annual Membership Support begins at $25.00. After you click on "Submit Application" you will be prompted to click on a paypal "add to cart" button to complete your membership renewal.
Thank you for your membership. Your information has been transmitted; Please complete payment for your Membership via PayPal by clicking on the add to cart button below. To pay for Bronze, Silver or Gold you can use multiples of $25.00 or send a check at this time. If you have questions please use the Contact Us button under Navigation to the left - Attn: DGRA Treasurer.
