Membership Application
Fields In
Red
Must Be Completed
Name:
Address:
City:
State/Province:
Country:
Zip:
Phone:
E-Mail:
Membership Type:
Regular Member $30/yr
Regular Member + 1st Class Mailing $44/yr
Associate Membership $5
Foreign Membership $55
Collecting Interests:
Chips
Tokens
U.S.
Foreign
Other
Please publish my:
Name and Address
Phone in the club membership directory
Referred By:
ALL MEMBERSHIPS SUBJECT TO THE CONSTITUTION AND BYLAWS OF THE CC>CC.
YOUR CREDIT CARD WILL NOT BE CHARGED UNTIL MEMBERSHIP
IS APPROVED BY THE MEMBERSHIP OFFICER.
Contact:
For More Information Regarding Membership
For Technical Issues
Click
HERE
for an application that you can print and mail