Membership Application

Please Fill out all required fields in order to submit the form.

Your Name

Your Email

Your Address

Phone Number

Required: FemaleMale

Age

Children Ages

Occupation
Retired

Dues are: $25.00 per member.

$25.00


Additional Information

Skills/Talents you are willing to share
Computer SkillsOrganizational SkillsMusical TalentsBuilding TalentsArtistic SkillsWriting SkillsDecorating SkillsPhysical Labor SkillsCleaning SkillsBaking/CookingMarketing SkillsSales Skills


I am willing to help as neededI am NOT willing to help

How do you prefer to be contacted?
Regular MailEmailText MSGPhone

Suggestions for PAS

By checking the box below, you understand that in addition to this electronic form you need to submit the membership fee via PayPal to become a member.