Membership Checkout – Southern California Grotto

Membership Information

You have selected the Member + Western Region membership level.

Bundle a Western Region membership

The price for membership is $30.00 now.

Membership expires after 1 Year.

Username

Password

Confirm Password

First Name

Last Name

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

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Name of Emergency Contact

Emergency Contact Phone Number

Do you have a different primary grotto or other affiliation.

Affiliation

Number of Seats

Choose the number of seats to purchase. You can purchase between 0 and 5 seats.

The price per seat is $1.00.

Group members will be able to claim the Family Member membership level.

Yes, renew at $30.00 per Year.

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Card Number

Expiration Date

CVC

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