New Member | Application for Membership

Member Information

First Name *

Last Name *

Primary Telephone Number *

A number which can receive text messages.

Email *

Address

Street Address (in Mexico) *

City

State

Country

Postal code

Emergency Contact

Please enter the contact information for your next of kin or emergency contact.

First Name

Last Name

Phone

Relationship

Additional Information

The following information will help us get you involved in the club as quickly as possible.

Occupation / Past Occupation

Please list any skills, talents, hobbies, etc which might be useful to the club.

Dues *

One Year Membership ($25.00 USD)

One Year Membership ($500.00 MXN)

Lifetime Membership ($150.00 USD)

Lifetime Membership ($3,000.00 MXN)

The following will need to be paid in cash to our Treasurer in order to submit your membership application. Please choose which option works best for you.

Membership Agreement

I agree to be bound by the Rules & Bylaws of Compañeros de Baja Norte. I understand that failure to adhere to the rules can result in my membership being cancelled. Further, I consent to receive SMS notifications, alerts & occasional marketing communication from Compañeros de Baja Norte. Message frequency varies. Message & data rates may apply. Text HELP to (888) 831-3705 for assistance. You can reply STOP to unsubscribe at any time.

Signature *

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New Membership