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Cape Verdean Santiago Society Associate Membership Application
A fee in the amount of $20 must be submitted with the application. The application fee will be returned if this
application is denied. 
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Email *
Name *
Address *
City *
State *
Zip Code *
Phone Number *
Date of Birth *
Sponsor's Name *
I wish to become a member of the Cape Verdean Santiago Society, Inc. I pledge to abide by the Bylaws of the Santiago Society and understand that a copy will be provided upon request. *
I acknowledge and agree to remit the annual membership dues of $20, payable on January 1st of each year.  *
Please indicate your preferred method of payment for the application fee. (Your application will not be processed until the fee has been received.)
Mail checks to: Cape Verdean Santiago Society            
66 Franklin St Norwich, CT 06360
Venmo $21 (includes $1 processing fee)
Square- $21 (includes $1 processing fee) 
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