CRVC-EGA
Plural
Membership
$15. Plural Membership
(NER
chapter)
$18. Plural Membership
(not NER chapter)
$18. LIFE EGA Primary
($15 CRVC dues
$3 NER dues)
$15. LIFE EGA Plural
(NER
chapter)
$18. LIFE EGA Plural
(not NER chapter)
Amt. Pd. ____________
to CRVC-EGA
Date Pd. ____________
(keep as your receipt) |
CRVC-EGA Plural Membership and LIFE EGA Membership Form
Use this form ONLY if you are a Plural Member of CRVC-EGA (new
or renewal)
or a LIFE Member of EGA (with CRVC as primary chapter or as a plural
member)
Which membership category applies to you (select and indicate only
one)?
-
I belong to another chapter in the New England Region (NER). I'm new
to CRVC-EGA or renewing my CRVC EGA membership as a plural member.
Dues = $15.
-
I belong to a different region (not NER). I want to join CRVC-EGA
or renew my CRVC-EGA membership as a plural member. Dues = $18.
-
I'm a LIFE EGA member and want to establish or renew my CRVC-EGA
membership with CRVC as my primary chapter. Dues = $18.
-
I'm a LIFE EGA member and want to establish or renew my CRVC-EGA
membership as a plural member -- my primary chapter is in the New England
Region. Dues = $15.
-
I'm a LIFE EGA member and want establish or to renew my CRVC-EGA
membership as a plural member -- my primary chapter is in a different
region (not NER). Dues = $18.
Mail your completed form with a check payable to CRVC-EGA
to:
Linda Berry, CRVC-EGA Membership, 343 Seabury Drive, Bloomfield, CT
06002.
Name:
____________________________________________________
Address:
____________________________________________________
City, ST,
ZIP ____________________________________________________
Home Phone: _______________________
Cell Phone: _______________________
Email:
____________________________________________________
Primary Chapter:
_________________________________________________
Membership No. _______________________
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