Renewal Membership form 2026

Individual: $30.00 ($35.00 if you need newsletter, etc. mailed)
Additional Family Member(s): $ 10.00 (for each member at same mailing address)

Please fill a separate form for each new household member.
(This contribution is not deductible as a charitable contribution for the Federal income tax purposes.)

Member = _x $10.00 _x $ _ 30.00
TOTAL __

Please make your check payable to Desert Sharks PHC and send check to:

Donald Miller

Membership Chair

8316 N Solitude Way

Tucson, AZ 85743

Any questions you can call at 856-628-0035