MEMBERSHIP FORM

This form gathers your membership information and sends it via e-mail to the SDIOP treasurer. AFTER you have submitted the form, use the link at the bottom to go to the secure online payment site.

(If you are having problems electronically sending this form using the "SEND" button below, please copy and paste the filled-out form fields into an email and send to: treasurer@sdiop.org.  Thanks!)

2008-2009 Dues:

STATUS:
Member ($35)
Student ($15)

Contact Information:

NAME:

TITLE:

ORGANIZATION:

MAILING ADDRESS:

CITY:

STATE:

ZIP CODE:

PHONE:

EMAIL: (REQUIRED)


COMMENTS?

After submitting your membership form, use this link to go to the online secure payment site...