Membership or Subscription Form
Membership (newsletter + Members Only website): $14.00 US per calendar year.
Subscription (newsletter only): $10.00 US per calendar year. (Gift subscriptions can be purchased.)
If Please print this form, fill it out, and mail it with the correct amount 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): _________________________
Your CCFHA Family Division No. (if known): ________
Your Corson (or related surname) line of ancestors:
How would you like to receive the newsletter? Electronic (by e-mail) ______ Paper (by mail) ______
Other comments:
Send this completed form to: CCFHA, c/o Gale Corson, 434 Nikki Drive, Santa Rosa, CA, 95401.
Remember to include a check or money order (made out to "CCFHA") for the correct amount (U.S. dollars).