MEMBERSHIP REGISTRATION FORM FOR THE CAPE FEAR CIVIL WAR ROUND TABLE
Date
-
Month
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Day
Year
The Cape Fear Civil War Round Table meets on the second Thursday of each month at St. John’s Episcopal Church, Elebash Hall, 1219 Forest Hills Drive in Wilmington, NC. Anyone with an interest in Civil War history is cordially invited to attend the meetings. Annual Dues are due on September 1.
New or Renewing Member or Military/Student?
*
New Member
Renewing Member with Unchanged Member Information
Renewing Member with Changed Member Information
Active Duty Military & Undergraduate Students (Free)
MEMBER INFORMATION
First Name
*
Mr.
Mrs.
Ms.
Miss
Dr.
Title
First Name
Last Name
Second Name
Ms.
Mrs.
Miss
Mr.
Dr.
Prefix
First Name
Last Name
Address
*
Street Address
Apartment #
City
State
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Email Address
*
example@example.com
INTEREST: What programs would you be interested in having?
What tours would you be interested in having?
Which activities might you like to support with volunteer time?
Newsletter
Communications / Public Affairs
Audiovisual / Computer
Tour organization
Website & Social Media
Membership
Accounting
Meeting Logistics (Setup ,Take Down)
Payment Method
*
Pay with PayPal / Credit Card
Pay by Check
CFCWRT Dues Options
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CFCWRT Classic Annual Dues
Normal dues.
$
30.00
CFCWRT Associate Annual Dues
Available for individuals from distant Round Tables who desire to retain an affiliation with Cape Fear but are unable to attend meetings on a regular basis. Associate memberships also apply to disabled or infirm members unable to attend meetings. Honorariums may also be made through an Associate membership.
$
15.00
Fill out above. Make Check Payable (for amount of Total above) to CFCWRT. Send Check Only (without form) to:
CFCWRT, Treasurer, 8387 E. Highcroft Dr., NE, Leland, NC 28451
You will receive an email at your above address with all of the filled-in information.
THE PAYPAL CHECKOUT SYSTEM ACCEPTS ALL MAJOR CREDIT CARDS
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Pay with PayPal
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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