Dues Form Instructions

Due Date: July 1
PLEASE NOTE ADDRESS FOR PAYMENTS

1. COMPLETE the form
2. PRINT THE PAGE (click "Print Form". Print TWO copies - one to mail and one for your records)
3. SUBMIT AN ELECTRONIC COPY of the form (click "Submit" button)
4. Make Check payable to "CGCI" (Dues are $2.75 per capita)
5. Mail printed form and check to:

CGCI Membership Chairman Nina Blonski
5050 Traverse Creek Road, Garden Valley, 95633

Related Item:
Contact Information Form
NOTE: If no initial payment is received by October 1 the organization becomes ineligible for participation in the CGCI Awards program and to apply for Liability Insurance or the Group Tax Exemption Program.

Dues: Annual (Clubs/APS)

***This form is to be used FOR 2024-2025 DUES (either full annual amount or additional members throughout the year)***

If you are paying the General Liability Insurance premium go to: Insurance DO NOT USE THIS FORM

Organization Name

Type first letter of name to skip to that section of the alphabet; scroll down and select.

District if applicable, (scroll to select)

Initial payment is due July 1, delinquent after Oct 1. Dues for Additional members may be paid periodically throughout the year.

Select ONE option

Initial Payment (annual dues)
Additional Members

No. of Members *

Include honorary & life

Check Amount *

# members x $2.75

Check Date *

mm/dd/yyyy

Check Number *

Your name *

Person submitting form

Your Email *

Your Phone # *

Your title

President
Treasurer
Other

Check payable to CGCI.

Mail with copy of form to: Nina Blonski, 5050 Traverse Creek Road, Garden Valley, CA 95633

PRINT FORM (Print TWO copies before clicking on Submit)