I would like to join the following Committee/s (Check all that apply):

Outreach/Community Service

Membership

Workers' Compensation

Insurance

Golf Tournament Committee

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If you need to make a correction, click on the Reset button, and re-enter the information.  Be sure to provide your e-mail address in the box above so an e-mail confirmation can be sent to you.  If you do not receive a confirming e-mail within two business days, please contact Varie Chapnick, Membership Director, at (619)239-8061 Ext. 1330.