Membership & Renewals Membership Date* Date Format: MM slash DD slash YYYY Please select one*Please select the corresponding choice if you are renewing or becoming a new member. RenewalNewName* First Last Email* Phone Number*Do you want to add a co-applicant?*Please select this option if you want to add a co-applicant, and fill out the corresponding information. YesNoCo-Applicant's Name* First Last Co-Applicant's Phone Number*Co-Applicant's Email* Baja Community*Alisitos - 58.0 LibreAngel's Camp (camino sur de Puerta del Mar III a océano) - 57.5 LibreArenales - 47.5 LibreBaja Seasons RV Resort - 72 CuotaBajamar - 77.5 CuotaBlvd. 2000 - LibreCalafia Condos & Villas - 35.3 LibreCalafia Hotel Historíco y restaurante y tiendas - 35.5 LibreCampo el Descanso - 44.8 LibreCampo Reynoso - 45.3 LibreCantamar - 46.4 LibreCantiles Dorado - 40.5 LibreCarranza (Lado este a través del puente) - 52.8 LibreCasa Blanca (al tras Ollie's Restaurante) - 40.5 LibreCharly's Restaurant - Km 37.5 LibreClick-on Café - 44.4 LibreClub Marena Condos & Villas - 38.5 LibreCosta Bella Condos & Villas - 36.7 LibreCruz Roja Clinica - 47.5 LibreEjido 18 de Noviembre (Arriba de la loma pasada Punta Piedra Este) - 70 CuotaEjido Primo Tapia - LibreEl Descanso Este - 49.0 LibreEl Pescador - 43.5 LibreHacienda Vista Mar - 52.8 LibreLa Fonda Area - 59 LibreLa Fonda Restaurante y Hotel - 59.5 LibreLa Mision Lomas (entrada pasada Playa la Mision y arriba la colina) - 62.0 LibreLa Salina - 73 CuotaLa Salina Marina & Towers - 73 CuotaLas Gaviotas - 40.1 LibreLas Olas Grand - 35.4 LibreLas Rocas Resort - 38.9 LibreLa Salina Este - 73 CuotaLuego al restaurante Magañas y este al otro lado de Orphanage RoadMarena Cove - 51 LibreMedio Camino - 53 LibreMision Viejo (Puerta del Sur) - 50.0 LibreOllie's Restaurant - 40.5 LibrePalacio del Mar Tower & Villas - 50.5 LibrePlaya La Mision - 61.0 LibrePlaza del Mar Los Arcos (pirámide) - 57.2 LibrePlaza del Mar Playas - 57.4 LibrePlaza del Mar Seccion Club - 57.0 LibrePoco Cielo Restaurante - 59.2 LibrePopotla Casas - 34 LibrePopotla Fishing Village - 33.5 LibrePuerto del Mar Gate 1 (Portón 1) - 54.5 LibrePuerto del Mar Gate 2 (Portón 2) - 54.7 LibrePuerto del Mar Gate 3 (Portón 3) - 54.9 LibrePuerto Nuevo "Lobster Village" - 44.2 LibrePuerto Nuevo Hotel & Villas - 44.5 LibrePunta Piedra (lado de oceano) - 70 CuotaPunta Piedra (lado este de carretera quota) - 70 CuotaRancho DescansoRancho Reynoso - 45 LibreRancho Santini - 40 LibreRosamar - 40.8 LibreSanoviv Medical Facility - 39 LibreSanta Martha Trailer Park - 38.3 LibreSplash Restaurante - 52.0 LibreVilla Borja - 45.7 LibreVillas Pacifica (al tras Ollie's Restaurante) - 40.7 LibreVillas San Marino (Este - abajo puente y arriba la loma y abajo el statua del Sagrado Corazon de Jesus) - Km 37.5 LibreVIP Gas (lado norte de Primo Tapia) - LibrePlease select the community you live in.Membership Card Mailed to Click On ? Click On Please check this box if you would like your card to be mailed to Click On.Mailing Address*This address will be used to mail your Membership Card. 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Please indicate if you would like to receive a free decal.YesNoCar Decals (Optional) Price: $5.00 Car decals are a great way to let emergency services know you are a member of Cruz Roja should you be in a car accident and cannot speak on your own. Leave this blank if you do not want a car decal.How many car decals would you like?Leave blank or add 0 if you do not want a decal.Would you like to make an additional donation to Cruz Roja? Please add in any denomination you like.Total $0.00
