Membership at the Camptonville Community Center

Please Choose Your Membership Level:*

*Business Members will be highlighted at events & their logo displayed on promotional materials as a sponsor.

Member Name*

First NameLast Name

Member E-mail Address*

Confirmation Email

Member Phone Number*

Area CodePhone Number

Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code

Spouse/Partner Name

First NameLast Name

Spouse / Partner E-mail Address

Confirmation Email

Spouse / Partner Phone Number

Area CodePhone Number

Contact me for upcoming events & information regarding the Center?*

Yes, by E-mailYes, by PhoneNo thanks

Notes, Requests, Comments?

Secure Online Payment

USDEnter Your Membership Amount

Credit Card Info

• Your annual membership is valid for one year from the date your payment is received. Benefits are to be used during the year of your current membership.

• Discounted tickets are available until sold out.

The Camptonville Community Center Advocates is a 501 (c)(3) tax-exempt organization, Tax ID # 81-4073088. Your membership/donation is used for charitable purposes to support and improve the Center and our community.

Your membership is fully deductible under state and federal tax law.
Please make checks payable to: Camptonville Community Center Advocates and mail this form and your check to the address below. Once payment is received your member information will be sent to you.

Camptonville Community Center | 15333 Cleveland Ave | PO Box 414, Camptonville, CA 95922