CapMac Membership Form

The following online form may be used by U.S.-based individuals who wish to become CapMac members.

If you are NOT a U.S.-based individual, or wish to complete your application offline, you can download a PDF version of our form and bring it with you to our next meeting or send it by postal mail along with payment.

Your Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Email Address

Preferred Phone Number (with area code)

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Referred By

Requested Membership Type

Regular/Standard ($36 per year)

Student/Educator ($24 per year)

Fee Waiver ($0 for six months)

Requested Payment Type

Secure Online Payment (Credit Card via Square)

In Person At Meeting (Credit Card, Cash, Check)

By Mail (Check)

Home Phone

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