Please print this page and mail the
completed form, with your check for voluntary dues to:
| Membership for the Calendar Year: |
( ) 2008-2009 |
( ) 2009-2010 |
| |
| Type of Application: |
( ) New Member |
( ) Renewal |
| |
| Membership Category: |
( )
|
Resident property owner (owns property and
resides in the College Area) |
| ( ) |
Non-resident property owner (owns property in
but does not reside in the College Area) |
| ( ) |
Renter (resides in but does not own property
in the College Area) |
| ( ) |
Fraternity/Sorority/Residence Hall
Name of house or hall: _________________________________ |
| ( ) |
Business/Professional (located within the
College Area)
Name of company:
____________________________________
|
| |
|
|
| Newsletter: |
( ) |
Please send the newsletter
electronically. |
| ( ) |
Please send the newsletter via USPS. |
| |
| Title: |
( ) Mr. & Mrs. |
( ) Mr. |
( ) Mrs. |
( ) Ms. |
( ) Other_______ |
| |
| Name(s): |
______________________________________________________ |
| Mailing Address: |
________________________________________ |
Apt.#: _______ |
| City: |
________________________________________ |
|
| State: |
___________ |
Zip: ________ |
|
| |
|
Location of property/business/residence if
different: |
| Mailing Address: |
________________________________________ |
Apt.#: _______ |
| City: |
________________________________________ |
|
| State: |
___________ |
Zip: ________ |
|
| |
| Phone: |
_________________________________________ |
|
| E-Mail: |
_________________________________________ |
|
| |
| Voluntary Dues |
(Dues are voluntary and not required in order to be
eligible to vote; however, your donations are greatly needed and
appreciated. Our only source of revenue is from the contributions
of our members. Any dues category below entitles you to receive
the monthly newsletter. Sponsoring members and business
sponsors will receive recognition in the CACC newsletter. Thank you!)
|
| ( ) |
Subscribing member, $10.00 |
| ( ) |
Contributing member, $15.00 |
| ( ) |
Sponsoring member, $25.00 |
| ( ) |
College Area angel, $50.00 |
| ( ) |
Business sponsor $50.00 |
| |
| Signature:
(required) |
______________________________________________________ |
|
Date:
|
______________________________________________________ |
