Print and Mail CC>CC Membership Application
Name:
Address:
City:
State:
Zip:
Phone:
E-Mail:
Collecting Interests:
Chips
Tokens
U.S.
Foreign
Other
Please publish my:
Name and Address
Phone in the club membership directory
Please publish my name, E-Mail address and collecting interests on the club web page:
Yes
No
Do not publish my information in either
I have enclosed my annual dues for:
One Year $20 3rd Class Delivery
Associate $5 Member in same household as a regular member
Foreign $35 Postal money order or US funds
For FIRST CLASS magazine delivery add $12 (U.S. Only)
Foreign mailings are First Class, regular mailings are Third Class unless First Class is added.
Print this completed application
and mail with your check made out to CC>CC to:
CC>CC Membership Officer, Ralph Myers, PO Box 35769, Las Vegas, NV 89133-5769
1-877-4CCGTCC