Individual Registration

Please enter information in the form below to process registration for event Membership Dues.

How to Pay Your Dues

  1. Enter Your Information: Fill out your personal details below.
  2. Select Your Bodies: Check the boxes for the specific bodies you are paying dues for this year.
  3. Optional Donations: Enter a dollar amount for any Charities, Programs, or Organizations you would like to support.
  4. Process Payment: Click the button to be redirected to a secure PayPal page. You can check out using a PayPal account or as a guest with a credit/debit card.

Once completed, both you and the Secretary will automatically receive a receipt via email. Thank you!

 

Select the Bodies you are Paying for:

Optional: Enter the amounts you want to donate to the following organizations:

OPTIONAL DONATIONS ARE APPRECIATED. These are made in your honor and are credited to Valparaiso depending on what you choose. Thank YOU!

 

Payment Information

Amount
$
Payment Processing Fee
$
Gross Amount
$
Payment Method
Paypal