Membership Sign-up Form

Thank you for your interest in our club. There is a yearly membership fee of U.S. $40.00/$50.00 for international which must be paid to gain access to the website and other members-only publications. After you complete this form, will be redirected to pay the membership dues. Once your fees have been processed, your account will be activated and you will be notified. *All fields are required.*

First name(*)
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Last Name(*)
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Mailing Address(*)
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City(*)
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State/Province
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Zip(*)
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Country(*)
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Preferred Phone Number
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Desired Username(*)
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Email Address(*)
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Your contact informaton will be made available to all CRCCI members via the Member Directory List. If you do not want certain personal information made available to other members, please let us know by writing what you DO NOT want made available in the following text box.