Clone of 2025 Member Renewal & New Member Application Form

Membership Application or Renewal Form

Due November 1, 2026
*Fields with an asterisk will be used in the Directory and are required.
Name

PrefixFirst NameLast Name
Profession/ Occupation
Alma Mater
School Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Are you a new applicant? (Please ensure you add the New Member Application Fee to your cart at checkout)
Best Contact Number
Format: (000) 000-0000.
Email
Birth Date
mm/dd
Member Sponsor
Member Name
Spouse / Partner

First NameLast Name
Year Joined
Interests (Please check all that apply)

Other
Please share your skills, hobbies, interests
Upload Photo for DIrectory

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Membership Dues & New Member Application Fee
All members must select one dues option below.

⚠️ REQUIRED: Select ONE dues option below (Regular, Emeritus or Junior).
⚠️ New Applicants must select either Regular Member or Junior Member and also select the New Member Application Fee.

Your dues help cover the basic costs of running our organization—things like software, postage, printing, and our state registration.

NOTE: Annual dues were due on or before November 1st. To help us stay on track with our annual commitments, a $10 late fee has been added to dues paid after this date. Thank you for your understanding and continued support.
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Regular Member Annual Dues
Over 35 years old as of July 1, 2025

$140.00



Junior Member Annual Dues
Under 35 years old as of July 1, 2025

$62.00



Emeritus Member
Emeritus Membership must have already been approved.

Free



New Member Application Fee
Required for new applicants only.

$25.00



Centennial Celebration Operating Fund
Help us celebrate 100 years of service by supporting outreach and events leading up to our Centennial.

$50.00 Quantity
Item subtotal:$0.00



Scholarship Donation
Linda Gross Memorial Scholarship Fund donations allows us to offer post high school education scholarships to the economically disadvantaged students in the state of Georgia.

$25.00 Level
Item subtotal:$0.00



Children's Needs Donations
Your gift brings joy and opportunity to children—funding everything from Halloween parties to college application fees.

$25.00 Level
Item subtotal:$0.00



Auction Buying Fund
Support our biggest fundraiser by helping us enhance auction packages and boost event revenue.

$25.00 Level
Item subtotal:$0.00



General Operating Fund
Help close the budget gap so we can keep dues low while covering essential operating expenses.

$25.00 Level
Item subtotal:$0.00



I would like a Printed Membership Directory
Printed membership directories will be made available for pick up at the Winter General Membership Meeting.

If you cannot attend the meeting, please reach out to the Membership Committee to arrange getting your printed copy.

$5.00



Total

$0.00
If Mailing Payment:

Click "I will mail my payment" below PayPal payment options and print a copy to mail along with your payment. Please mail checks to the Circle Membership Team at: 4461 Club Lake Circle SE, Marietta, GA 30067.
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Choose from one of the PayPal options to make your payment.

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Membership Application or Renewal Form

Membership Dues & New Member Application Fee

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