CHA Associate Membership Application/Renewal Form
PLEASE COMPLETE FULLY AND RETURN ASAP. PLEASE NOTE THAT ONLY FULL MEMBERS CAN VOTE ON CHA MATTERS. FULL MEMBERSHIP APPLICATIONS MUST BE COMPLETED AND SIGNED USING THE WORD VERSION OF THIS FORM, THEN AGREED BY THE CHA COMMITTEE.
Email address *
Name *
Your answer
Address *
Your answer
Phone *
Your answer
Reason for applying *
Associate Members are asked to make an annual donation of any size via PayPal. Please let us know below what donation have you made. *
Your answer
A copy of your responses will be emailed to the address you provided.
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