New Membership

Please fill out the information below and click the button at the bottom to join.  If you elect to pay online you will be forwarded to Paypal.com to complete the transaction.  You do not need a Paypal.com account, only a major credit card.

Total Amount
Page Name and Address
Apt #, Suite # etc. Leave blank if unnecessary.
Credit Card Information
If you have a PayPal account, you can click the PayPal button to continue. Otherwise, fill in the credit card and billing information on this form and click Continue at the bottom of the page.
Checkout securely. Pay without sharing your financial information.
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Billing Name and Address
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Alumni Info
The year you completed your page service. Please enter as a 4 digit number i.e. 1977, 2003
What type of page were you? Please select one.
 
Were you a school year page or summer page?
Please enter your undergrad alma mater.
Your graduate school alma mater, if applicable.
Your employer or organization, if applicable.
Do you have family members who also served as pages? List them here.
Please list the Senator or House Member who sponsored you to be a page.