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Home > About CCFHA > Membership Form

New members can join electronically on the Membership page or, by filling out and mailing the form below, by surface mail.

Annual dues: $14.00 US per year. (Non-domestic memberships $17.00) (Dues cover a calendar year 1 Jan-31 Dec. All members have access to the CCFHA Members Only website, which contains past issues of newsletters.)

New Members: New members will receive the CCFHA Member Handbook and Membership Directory.

Please print this form, fill it out, and mail it with the correct dues to the address given  below.
CCFHA Member Application & Profile Form






Zip code:_____________

Country, if not U.S.:_____________________________

E-mail address:________________________________

Birthday (month & day):_________________________

Do you prefer e-mail or postal delivery (circle one)?:  e-mail    postal

   CCFHA Division No. (if known):________
Your family line:

Other comments:

Send this completed form to: Brian Corson, 105 Diane Drive, Streamwood, IL, 60107

If sending an application form by surface mail, remember to include a check or money order for the correct amount (U.S. dollars please) to activate your membership.