CCHSV Membership Application

Membership Fee:
Full Year Dues: Join January through June 30 - $15/household
Half Year Dues: Join July 1 through December 31 - $8/household

Enter the name of household members who wish to join:

Address:   Home Phone: 

Make your check payable (no cash please) to Computer Club of HSV for $15.00 (includes all household members). The half-year dues are $8.00 starting July 1. Bring this application and your check to a meeting or mail to Karen Mallonee, 15 Ventoso Ln, HSV 71909.

Date:     Amount Enclosed:  $   Check Number:  

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