Membership Form

PAC*SJ Membership Form

Please fill out this form to Join or Renew.

Members joining or renewing at the Contributor level can choose one of the following premiums, or at the Patron level you can choose two premiums:

White Dancing Pig T shirt: L, XL or;
San Jose Neon letters T shirt: M. L, XL, 2XL, 4XL or;
A copy of the recently reprinted Tales of Naglee Park by Jack Douglas or;
Pen and Inklings by Ralph Rambo or;
Choose no premium and your entire membership supports our programs

We are temporarily changing our membership prices to support changing to a single renewal date of June 1st so we are asking that you pay an additional ½ year of dues and your renewal date will be June 1, 2021.

Email me about upcoming events?

Yes

PAC*SJ will not release your contact details to third parties without your consent. Please check if you would like us to not publicize your name as a PAC*SJ member.

Do not publicize my name as a PACSJ member

Interested in Volunteering?

Add a note

Select an option

Individual

Family

Student / Senior / Non-profit

Dual Senior

Thanks for Joining PACSJ!

OR mail this form and your membership check to:

PAC*SJ

1650 Senter Road

San Jose, CA 95122

OR call us at (408) 998-8105 and give us your credit card details over the phone: we take Visa, MC, and American Express.

PAC*SJ is a 501(c) 3 non-profit organization - Non-Profit Tax ID: 77-0254542

Individual(+$60.00)

Family(+$82.50)

Student/Senior/non-profit(+$37.50)

Dual Senior(+$75.00)

Contributor(+$150.00)

Patron(+$375.00)

Benefactor(+$1500.00)