New Member Registration

Membership Requirements & PHIP Compliance

Each individual is now required to maintain their own separate membership. Consequently, email and text notifications will be sent directly to each member emails.

For New Members Joining Today

Each new member must have an individual profile and email address.

Due today:

$30.00

$1.00 processing fee.

Total $31.00.

STOP: Are you an existing member?

If you are already a member of CHPHC, DO NOT use this form.

  • Existing Members: You will receive a unique renewal invoice via email and SMS 30 days before your membership expires.

  • How to Renew: Use the specific invoice link provided in your personal email to ensure your payment is credited to the correct account.

  • Renewal Payment Options: Cash or check (at a Phlocking) or Credit Card Online or at Phlocking

Important:

If you are already a member of CHPHC, do not use this form.

Each member requires their own unique email address AND unique phone number to register.

Please do not use shared contact details for multiple memberships (e.g., for spouses) to ensure your records are accurate.

CHPHC New Membership Registration* Couples DO NOT use the same email address or phone number. Existing members do not use this form
Address
Payment
ItemQuantityPrice
1 Year Membership - New Member
1
$31.00
Order Summary
ItemQuantityAmount
1 Year Membership - New Member1$ 31.00
Order Total
$0.00

Frequently Asked Questions

If you do not find what you need, please email [email protected] with your questions.

Do I Need to Print and Send in the Member Application?

Our goal is to make the membership process as simple as possible.  If you join "Online", you do NOT have to mail anything.  However, if you choose NOT to join online, simply print the membership or renewal form and mail it to the address on the form.

Can I Join by Mail?

Yes.  We prefer that you join online, but if you choose not to, simply CLICK HERE to download the application to mail. Mail to:

CHPHC Membership

P.O. Box 510892

Punta Gorda, FL 33951

How can I renew by mail?

Not a problem!  CLICK HERE to download the form. Then, mail the renewal form and check to:

CHPHC Membership

P.O. Box 510892

Punta Gorda, FL 33951

PO Box 510892
Punta Gorda, FL 33951

Contact US

(941) 273-8080

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