PRGC Order Form: New Member

 

Nice to have you joining us!

The price covers your one-time setup fee ($100) plus your first year's dues ($50) for a total of $150. You'll need your receipt # from this transaction for the next step: filling out your online Membership Application.

For family memberships with multiple members: use the name and NRA info of the primary member here, and identify associate members on the Membership Application.

Fields with an asterisk are required.

Remember to let the Membership Chair know of any updates to your contact info, including your updated RSO expiration date.


What you're purchasing:    1 New Membership in PRGC $150.00

 

*Last name:   

*First name:   

 

*NRA #:   

     (Your NRA membership number.

     If you have applied but not yet received your NRA number information, enter "Pending" here. NRA Life members: enter the word "Life" here)

 

*NRA Expiration Date:   

     (Enter as: mm/dd/yyyy)