If paying by check: Make check payable to CNA
If you prefer to pay by check, complete the information above and send form and payment to: CNA, 1224 Mill St., BLDG B, Suite 223, East Berlin, CT. 06023. If you are paying by credit card, fax form and payment to 203-238-3437
Questions? Phone: 203-238-1207 x1 or email firstname.lastname@example.org
Returned Check Policy:
An administrative fee of $15 will be charged for returned checks.