$57. Primary Membership
$15. Plural Membership (NER)
$18. Plural Membership (not NER)
For a membership card, please enclose a SASE.
Amt. Pd. ____________
Check # ____________
Date Pd. ____________
(keep as your receipt)
CRVC-EGA Membership and Address Change Form
The membership year runs from June 1 to May 31. If you
are joining after
September 1, please contact the membership chairman for prorated dues.
Mail your completed form to: Suzanne Newton, CRVC-EGA
Membership, 14 Madison Lane, West Simsbury, CT 06092.
Make check payable to CRVC-EGA. Enclose SASE for membership
__ Address Change
__ CRVC Primary Membership ($57)
__ Plural Membership, Primary Chapter in New
England Region ($15)
__ Plural Membership, Primary Chapter not
in New England Region ($18)
City, ST,ZIP ____________________________________________________
Membership No. _______________________ Total Enclosed