Join CVATC
CVATC Membership Form
Print off and complete this page
___New Membership
___Renewal Membership
Date:______________________, ________
Name ________________________________ Phone ________________________
Address _____________________________________________________________
City _________________________, State ______________ Zip _________________
Can you volunteer time with the Club? ___Yes ___No
_____Individual - $10.00 _____Organization - $35.00 _____Family - $15.00
_____Supporting - $25.00 _____Lifetime - $250.00
Additional Donation - $_______________
Make checks payable and mail to:
CVATC
P.O. Box 395
Boiling Springs, PA 17007-0395
(CVATC's membership year begins April 1 and ends March 31)
______________________________________________________________________
