Email Facebook

Past Regent's Club Online Enrollment/Updates

- For new membership enrollment:
  1) Complete the simple Online Enrollment here.
  2) Mail a $20 check payable to Past Regents Club of Texas and addressed to:
  
  Past Regents Club of Texas (PRC)
  Attn: Christine Moore
  5506 Hollow Loop
  Salado, TX 76571
  
  Thank you for your enrollment. Your DUES of $20 provides membership for two years; from state convention to state convention.
  
  Already a member but your contact info has changed?
  Help us to keep our records accurate! Use Online Enrollment to make updates.
  
  Thank you!
- The maximum number of form submissions has been reached. This form is currently not available.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Court Name REQUIRED Please fill out this field. Please enter valid data.
  
  Court Number REQUIRED Please fill out this field. Please enter valid data.
  
  District # Please enter valid data.
  
  Diocese Please enter valid data.
  
  Submit
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
- Rather enroll with a printed form? Download the PRC enrollment form