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CCC Membership Form - 2012
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* Indicates required question
Member Name / Student Name
*
Your answer
Parent's Name
Your answer
Age/Grade/School Name
Include School Name if Scholastic :Player
Your answer
USCF ID
IF USCF Member, include ID
Your answer
MEMBER TYPE/MEMBER FEE
Choose
CCC-Student Membership $40.00/Year
SFEA Membership $40.00/Year
TCCC Club Membership $40.00/Year
Monthly Membership $5.00/month
Club Membership with No Discount $50.00/year
Family membership $50.00/year
Email ID
*
Your answer
Contact Phone#
Your answer
Questions/Comments
Your answer
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