Membership Form

Fields marked with an * are required. The more optional fields you complete, the better APCUG can ensure your group receives helpful information about its benefits, contests, as well as up-to-date news.

Paying by Check

• Fill out the form (names and e-mail addresses are for APCUG’s use only)
• Click the Print link (include a copy of the form with your check)
• Click the Submit button
  • Completed Form is sent to Membership Committee
  • The person completing the form will receive a confirmation e-mail that the form has been received
  • If the e-mail is not received, let the Membership Chair know at membership@apcug.org
  • You will be taken to the PayPal Payment page
• No need to fill out the PayPal form, use the back button, or the navigation bar to further explore the website

Paying by PayPal 

• Fill out the form (names and e-mail addresses are for APCUG’s use only)
• Click the Print link to retain a copy for your group
• Click the Submit button
  • Completed Form is sent to Membership Committee
  • The person completing the form will receive a confirmation e-mail that the form has been received
  • If the e-mail is not received, let the Membership Chair know at membership@apcug.org
  • You will be taken to the PayPal Payment page
• You don’t need to have a PayPal account, you can use Visa, MasterCard, American Express or Discover and PayPal will securely process the transaction.
• Complete the required information
• Click the Add to Cart button
• You will be directed to PayPal for payment

Once your PayPal payment is completed, you will receive a confirmation message from PayPal.

Membership Requirements

See Membership Info page for complete details

If you have any questions or need help, email the Membership Committee.

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

User Group Name *

Acronym *

Group's Web Site http:// *

President's Name *

President's eMail *

Treasurer’s Name *

Treasurer’s e-mail address *

Location / Place of Your Meeting *

Group's Meeting Street Address *

Meeting City/State/Zip *

Group's Mailing Street Address *

Mailing Address City/State/Zip *

Group's Country *

Group email address *

Number of Members *

Meeting Day *

---

The more contacts you provide for our database makes it easier for your group to receive more helpful information about benefits, contests, and up-to-date news from APCUG.

APCUG Rep

APCUG Rep's eMail address

Editor's Name

Editor's eMail

Webmaster

Webmaster's eMail

Group Phone Number

Social Media URL

Vice President’s Name

Vice President’s e-mail address

Secretary’s Name

Secretary’s e-mail

Program Chair

Program Chair’s e-mail

Membership Chair

Membership Chair’s e-mail

Election Month

---

Your Contact Information

Your First and Last Name *

Your User Group Position and Title *

Your Phone Number *

Your Email *

---

NOTE:
Don't forget to print this form. Clicking Submit is the last step on this page.

If you have any questions or need help, click here to contact the Membership Committee.

Membership Type *

• Full Member

Membership Payment Options *

• $50 New Group (Jan 1 - Dec 31)
• $75 New Group (July 1-Dec 31 includes following year)
• $50 Renewal

Payment Method *

• Check
• PayPal

No PayPal account is needed to use a Credit Card through PayPal.

Please include a printed copy of this form with your check and mail both to:

APCUG
PO Box 1384
Pine AZ 85544-1384

Note: If you are paying by check, after you have the printout, the membership form process is finished. Thank you.

Click HERE to print the form before submitting!

---