Welcome to the Dodgers Booster Club Renewal Process

Just fill out this quick 2012 information form, and click Continue to pay your dues

2012 Membership Renewal Information Form

Please complete this form entirely, as part of the 2012 renewal process. All information provided here will be used for creation of the annual Membership List, which is used for Dodgers Booster Club business ONLY.

Please be sure to answer all of the questions, and include comments or suggestions in the box provided, if desired.

** Year of birth required for members under 18, Month and day is sufficient for adult members, if preferred

Please PRINT	Names ( * indicates Required Info)	Birthday** (mm/dd/yyyy)
* Your Name:	*
Second Member:	*
Third Member:	*
Fourth Member:	*
If you have more than 4 family members to enroll, click here
* Your Address:	* Phone:
* Your City:	* State: * Zip:
* Email Address:	Cell Number:
Alternate Email:	Occupation:

Please Answer ALL questions [provide additional information in box below, if necessary] Do you want your information above to appear on the 2012 membership list ? Do you want to receive a copy of the 2012 General Membership List? If yes, do you prefer What are the best days of the week for you to attend a Dodger game? Are you interested in attending Club Sponsored Trips within the state during the 2012 season? Would you be interested in attending Club Sponsored Trips outside the state during the 2012 season? Would you be interested in working the giveaways at Dodger Stadium during the 2012 season? Are you Celebrating any special event or milestone in 2012 - anniversary, graduation, wedding, reunion, etc. that you want to share? If yes, please tell us about it here, or in the box below
Information / Comments
All information provided here will be used for creation of the annual Membership List, which is used for Dodgers Booster Club business ONLY All items must be completed . When ready, click the Submit Button below to securely pay dues