For NCCA Membership, please print, fill out and send the following application to the address noted below.

NCCA  MEMBERSHIP &  DUES

MEMBERSHIP RATES – CHECK THE APPROPRIATE CATEGORY:

ADULT (NEW)  _____  ADULT (RENEWAL) _____  $20.00 / YEAR THRU 12/31

JUNIOR (NEW) _____  JUNIOR (RENEWAL)  _____  $5.00 / YEAR THRU 12/31 UP TO AGE 16

LIFE MEMBERSHIP  _____  $200.00 ( EARLY ADMITTANCE DURING SET UP, ALL NCCA SHOWS

PLEASE PRINT CLEARLY

NAME: ______________________________________________________________________

ADDRESS: ___________________________________________________________________

CITY/STATE/ ZIP CODE: _____________________________________________________________

TELEPHONE _____________________ EMAIL _________________________________

MAKE CHECKS PAYABLE TO NCCA and send to:  43 Tifft Road, North Smithfield RI 02896 -8009

 E-MAIL suzukisamm16@yahoo.com

www.ncca.info

 

 


 

 

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