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Membership
Membership dues are $45. Checks can be sent to CCS-QCA, PO Box 6184, Rock Island, IL 61204.
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Is this a renewal of membership or a new membership?
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Name (First and Last)
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Street Address
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City
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State and Zip Code
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Phone Number
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Church Affiliation
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Please mark all areas of interest
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Sew/Knit
Assemble and Deliver Layettes
Volunteer in a Head Start Class
Preschool Book Drive
Red Wagon Drop Off Baby Shower
Serve as a Board Member
Connect Your Parish with CCS
Help Plan Social Events/Fundraise
Participate in Annual Retreat
Pray
Chair a Committee
Publicity
Social Media
Other:
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How did you hear about our Christ Child Society Chapter?
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I have read and understand the Respectful Engagement Policy.
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