Dues are $25 and run January 1 to December 31. 

Make checks payable to C.W.C.A.  

Print this form and mail to: 

 Mr. Mark Austin
258 Campville Road
Northfield, CT 06778

                                              ___Renewal                                                                             ___New Member

 Name ___________________________________________________________________________________________


Address ________________________________________________________________________________________

 
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 State _________________          Zip ______________

 
Phone/Cell ________________________________________
 

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