"*" indicates required fields Application for a voting membership.* 1 year: $30.00 2+ years, $30 per year Lifetime: $500.00 Refund PolicyStatus of membership* New Renewal # of Years*Please enter a number from 2 to 19.Subtotal* Price: $0.00 Additional donation*No, thanks$5$10$15$20$50$100$150$250Latest fiscal years served on grand jury (Enter years below like 2017/18)* Full Legal Name* First Last Nickname Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code County* Phone*Area code and 7 digit phone number onlyEmail* Total Credit Card*Card Details Cardholder Name Mastercard or Visa only