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PAGCS
www.pagcs.org
All Members Must Provide Directory Information for 2020: note that this is how your information will appear in the directory so please complete all relevant fields.
Last Name
*
First Name
*
Middle Initial
Membership Classification:
*
A/SM
C
Mechanic
Affiliate
Retired/AA
Educator
Student
Employer:
*
Work Address 1
*
Work Address 2
Work City
*
State
*
Postal Code
*
Cell Phone
*
Office Phone and/or Fax:
Email Address
*
Publish Cellphone in PAGCS Directory?
Yes
No
If you wish us to share your blog or website information, please supply the link here:
Home Address 1:
*
Home Address 2:
Home city:
*
State:
*
Zip:
*
Additional/Home E-mail:
GCSAA #
Notes or additional information you would like to supply:
Thank you for taking the time to update your information for the PAGCS Directory and email database. To renew and pay for membership, please visit www.PAGCS.org