ThePapCorps

Papanicolaou Corps for Cancer Research Logo

Addison Reserve Membership

Membership

Through this form, Addison Reserve members can pay for their membership through their Addison Reserve accounts or via credit card. Please select your preferred payment method below, and then select the type of membership you'd like to sign up for by clicking the plus (+) sign.

Payment Type

Annual Membership paid via credit card

$50 • 1 Item Limit

Lifetime Membership paid via credit card

$350 • 1 Item Limit

Annual Membership paid via Addison account

Complimentary • 1 Item Limit

Annual Membership is $40, which will be deducted from your Addison account.

Lifetime Membership paid via Addison account

Complimentary • 1 Item Limit

Lifetime Membership is $300, which will be deducted from your Addison account.

Contact information

Who can we thank for referring you to The Pap Corps? (Soft Credit)

Addison Reserve Member ID

Pap Member ID (Numeric entries only - Please leave blank if you don't know your ID)

First Name

Last Name

Mobile Number

Address

City

State

Zip

How would you like to pay?

This is a secure 256-bit SSL encrypted payment

Card Number

Expiration Date

CVV

I would like to cover the payment processing fee of 3.5%

Donor hereby approves the payment of the charitable donation and/or purchase to Papanicolaou Corps for Cancer Research and in the amount set forth herein.

Membership

Contact information

How would you like to pay?

Donation amount