Join, Renew, Update

Join or renew ~ A two part process

Please complete the form on this page first and hit "send."
After hitting "send," pay dues using one of the options shown below the form.

Update

Use the form below: provide name, phone number and items to be changed only.

Membership Information Form

New regular member $80	Renew regular membership $70
New student member $50
Update directory listing

Contact information: (Provide information as you'd like to be listed in the directory.)

Name:

Title:

Company:

Address:

City:

State: Zip:

Phone:

Email:

Will dues be paid using: Check Credit card (This info helps our volunteers reconcile records.)

Networking fields: (Expertise/specialties/professional interests/industries experience.)

Publish contact information in Membership Directory?

Yes No

Member of National ASTD?:

Yes No

If yes, what is your National ID#?

As an all volunteer organization, in what ways are you willing to serve the chapter as a volunteer (check one or more!)

Membership
Professional Development
Marketing and Communications

Community Outreach
Special Interest Groups / Ad Hoc Committees
Expo Event

Payment options:

Check is preferred so we can use 100% of your dues to enhance member services! Make payable to Mount Diablo ASTD, note the member's name on the check and send with the form printout to:

Kristine Styers Daley
2400 Shady Willow Lane 22C
Brentwood, CA 94513
925-550-3960
kdaley29@gmail.com

The VP Membership will provide a receipt once payment is received.

To pay by credit card (please use VISA, MC or Discover only) click on the button:

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