Please fill out the form and click SUBMIT.
Fill in the blank fields and
use the down arrow (on right side of field) for options.

You can send money via the PAYPAL button after you SUBMIT the form.  
The amount should reflect the information on your form … but it is not connected via technology … you are totally in control of the numbers.

NOTE: Memberships taken after September 1st … apply to both the end of year and the full year following.