Annual Dues:  Individual Member $15.00, Two Person Household $27.00 plus $12.00 per additional member.   Pay online by credit card or make check payable to GSN and mail to

GSN

P.O. Box 8413

Naples, Florida   34101-8413

New membership and renewals are activated upon receipt of payment.

Thank you for being a part of GSN!

New to GSN
Name #1 *
Birthday (Month/Day)
Name #2
Birthday (Month/Day)
Anniversary (Month/Day/Year)
Address *
City *
State
ZIP
May we phone you regarding GSN business or activities? If you checked yes, please provide	Yes No
Preferred Phone #
Optional 2nd Phone #
May we email you regarding GSN business or activities? If you checked yes, please provide:	Yes No
Email Address #1 *
Email Address #2
Member Directory - List the above information in a Directory available ONLY to GSN members.	Yes No
GSN Action Alerts - Advise me by email of GSN events or late-breaking news.	Yes No
Renewing Membership
New Member - Comments/Suggestions:
By submitting this form you attest that you are age 18 or over and a full or part-time resident of (or visitor to) Collier or Lee Counties. The address provided will be used for mailing the GSN Newsletter and other GSN information. *
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