Name: _______________________________ Street Address: ________________________ City, State, Zip _________________________ E-mail address: ________________________ As a member you receive:
Dues are per calendar year. We respect your privacy but would like to recognize our members in our Newsletters, if you agree please indicate whether you would like to be publicly acknowledged as a member: □ Yes, publish my name □ No, Thank you Annual membership dues are $20. Please enclose your check with this form and mail to: CCMA PO Box 172 Columbia City, Oregon 97018 |
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