I/We wish to apply for Legacy Membership in accordance with 2.c of the ByLaws for Membership.
Applicant Name
2nd Applicant Name
Effective Immediately
At the beginning of the next year
I/We are a current Member(s)
Date Joined:
I/We are former Member(s)
Date Joined:
Date Left:
Former Member(s) submit with completed page 1 of CCA Membership Application. Please forward both applications along with a clear digital photo of the applicant(s) to the Membership Chair to be presented at the next Board of Directors Meeting for approval.
Board of Directors Use Only
Approved by Board of Directors
Yes
No
_____________________________________/________________________ Secretary Date
