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[Simply print this page, fill in the requested information and
mail it to the P.O. box along with your check.]
Membership Chairman
P.O. Box 291
New Canaan CT 06840
Dues for a calendar year are $25.00.
If you are joining in mid-year, your dues are calculated as $2.00 x #
Months left in the year counting from next month. Make your check payable
to CTPC and send it to the P.O. box. Please be sure to include your e-mail
address so we can keep you advised of future meetings (we do not publish
these listings)
Name: __________________________________________
Address: _________________________________________
_________________________________________
City/State/Zip Code: _______________________________
Home Phone: _____________________________________
Work Phone: ______________________________________
E-mail: ___________________________________________
How did you hear about the CTPC?
________________________________________________________________________
Do you have any suggestions for future meeting topics?
________________________________________________________________________
________________________________________________________________________
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