MEMBERSHIP APPLICATION/RENEWAL/UPDATE FOR YEAR

Charlotte County Veterans Council
MEMBERSHIP APPLICATION/RENEWAL/UPDATE FOR YEAR
Date

MonthDayYear
Date
Organization Name: Number of Members:
Organization Name
Presiding Officer
Email
example@example.com
Address

Address

Street Address Line 2

CityState / Province

Postal / Zip Code
State
Phone
Email
example@example.com
Address

Address

Street Address Line 2

CityState / Province

Postal / Zip Code
State
Phone
Email
example@example.com
1st Alternate
State
Address

Address

Street Address Line 2

CityState / Province

Postal / Zip Code
ZIP
Phone
Email
example@example.com
2d Alternate
Address

Address

Street Address Line 2

CityState / Province

Postal / Zip Code
State
ZIP:
ZIP
Phone
Authorized Signature

Clear
Title
Remarks
Annual dues are $25.00, payable by January each year. Please submit a new form for changes in the above information. Copies of this form are available from the CCVC Secretary at any meeting or via email. This form may be returned at a future meeting or by email: membership@ccvc.us
Annual dues are $25.00, payable by January each year. Please submit a new form for changes in the above information. Copies of this form are available from the CCVC Secretary at any meeting or via email. This form may be returned at a future meeting or by email: membership@ccvc.us
FOR YEAR
Should be Empty: