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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.
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CCFHA Member Application & Profile Form
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Name:________________________________________

Address:______________________________________

Address2:_____________________________________

City:_________________________________________

State:____________________________

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

Your CORSON / COLSON
   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.