IRCWCC 2008

Membership Application and Renewal Form

Both new and renewing members please complete all information.

Name: ..................................................................................................................................

Street address: ………………………………………………………................................

City/town: …………………………….…………….. State/Province: …………………

ZIP/Postal code: ………………….. E mail address: …………………………………..

Telephone number: ………………………………………………………………………

The following fees have been established by the IRCWCC, Inc. Board for 2008:

a. Renewing members who paid dues in 2007 … $7.00

b. Additional renewing members who paid dues in 2007 and who live in the same house as someone renewing under “a.” … $5.00*

c. New members and any former members who did not pay dues in 2007 … $10.00

d. Additional new members who live in the same house as someone joining under “c.” or renewing under “a.” … $5.00*

Please make out a check or money order for the correct amount payable to "IRCWCC, Inc." Mail the completed information form together with your check or money order to:

Seale W. Tuttle, Treasurer

195 Old Post Road

Tolland, Connecticut  06084

*Members joining or renewing under these sections will receive only an I.D. card

Canadian members: please send checks or money orders in U.S. funds. Thank you.

The Club and the Treasurer assume no responsibility for cash sent through the mail.