GSDA Membership Application Pay Dues using Zelle with payment to: Greatersda@gmail.comor make checks payable to GSDA and mail to Larry Roegner 20548 Fisher Lane, Sanderson, FL 32087 Form: * Indicate required fields. Membership Type* New MembershipRenewalRenewal with No Changes Check $30 Regular$40 Family Household Member Information*: (Contact Info used for GSDA communications, business, and event info) Member Name: Member address*: Phone/Cell Number: * Member Email* Family Household Members (when applicable): Who Referred you (if not renewing): Check or Zelle: Check to Accept* . Your acceptance, (and/or payment), signifies your acceptance of, and willingness to abide by, the GSDA “Code of Conduct & Rules” and the Bylaws of the GSDA. Signature: Date:
