CMGS Membership Registration Form
To apply for membership, print this page and send to address listed below
|
CMGS Membership Registration Form |
Date:_________________ Please type or print
Name: _______________________________________________________
Address: _____________________________________________________
City: _____________________________ State: __________ Zip: _______
Home Phone: _____________________________________ Publish ( )Y/N
Cell Phone: _______________________________________ Publish ( )Y/N
Email: ___________________________________________ Publish ( )Y/N
| Membership Type | Cost | Select One |
| Single | $12.00 | |
| Family | $17.00 | |
| Organization | $20.00 |
FOR OFFICE USE ONLYMember # |
|||||
|
Year |
Paid |
Cash/Check |
Year |
Paid |
Cash/Check |
|
2003 |
|
|
2008 |
|
|
|
2004 |
|
|
2009 |
|
|
|
2005 |
|
|
2010 |
|
|
|
2006 |
|
|
2011 |
|
|
|
2007 |
|
|
2012 |
|
|
Make checks payable to: CMGS, Inc.
| Send to: |
| CMGS, Inc. |
| c/o Membership |
| P. O. Box 811 |
| Westminster, MA 01473-0811 |