Membership Application Form

Make check payable to: C.G. Jung Club of Orange County
Please type your information, print this form and mail with check to:

Registrar, C.G. Jung Club of Orange County
P.O. Box 1812
Orange, CA 92856

Newsletter only - Voluntary Donation $10

Membership

Individual - Yearly Dues $25

Couple - Yearly Dues $40

Dream Circle - Yearly Dues $75

Alchemy Circle - Yearly Dues $200
(includes free admission to all events for one year)

Lifetime Benefactor - One time payment $2000
(includes free admission for you and a guest to all events for life)

         Name:
      Address:
  City, State:
          Zip: Amount Enclosed:
   Home Phone: Alternate Phone:
Email Address:

 

[ Back ]         [ Home ]