"*" indicates required fields Application for a voting membership.* 1 year: $30.00 2+ years, $25 per year Lifetime: $500.00 Refund PolicyStatus of membership* New Renewal 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)* Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code County Phone*Email* Total Payment MethodPayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name *** Please fill in all fields and do not click the purchase button more than once, or you may incur a duplicate charge. Once the transaction is recorded, you will receive an acknowledgment via email. **** I agree.Email
