Yes, I would like to become a member of GPPA !
Please complete this form and mail it to GPPA, 8711 E. Pinnacle Peak Road, #123, Scottsdale, AZ 85255. If you have questions, please do not hesitate to contact us.
Name: E-mail:
Spouse: Fax:
Address:
City: Zip Code:
Daytime Phone: E-mail
Choose a Membership/Friend Level:
$ 50 Individual & Family, 1 Year $ 80 Individual & Family, 2 Years
$ 95 Business & Organization, 1 Year $ 175 Business & Organization, 2 Years
I would like to make a tax deductible donation of $
Payment Information
I am paying by check and have enclosed my check made payable to GPPA.
Please bill my MasterCard or Visa credit card. My credit card information is:
Name on Card Credit Card #
Verification # (3 digits on back of card) Exp. Date: Zip Code:
Additional Information
Community (Association):
New Member: Membership Renewal:
Comment: