CATO Membership Application/Renewal/Update

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This form can be used if you like to pay your membership fee using PayPal or if you have paid earlier in the year and like to update your contact info. You need to press submit form for the data to go through and you will then be taken to a the PAYPAL PAYMENT Page where you can pay online for your membership.you can also use this form if you are mailing a check. Please indicate in the comment box that you are mailing a check. Make checks payable to "CATO Rocketry Club". and mail it with a print out of this page to:

Tom Brogan
25 Lawrence Dr
Nesconset, NY 11767

Please provide the following contact information, items in bold are required:

Personal Information

First Name:  Last Name:

Street Address: City:   State:  Zip Code:

Date of Birth (MM/DD/YYYY)

Home Phone: Work Phone:

E-mail: Occupation:

Certification Information

NAR Number: TRA Number: HPR certification level:

Submission Type

Renewal     New Member     Information update

Membership Type

Senior Membership, $25

Junior Membership (Under 18), $10

Family Membership (1 vote per family), $25 + $5/additional flying member

Scout/TARC (please use comment field for information about the team)

N/A

Family Member 1

Name: Date of Birth: MM/DD/YYYY   NAR/TRA number:

Family Member 2

Name: Date of Birth: MM/DD/YYYY   NAR/TRA number:

Family Member 3

Name: Date of Birth: MM/DD/YYYY   NAR/TRA number:

Family Member 4

Name: Date of Birth: MM/DD/YYYY   NAR/TRA number:

Comments

If you intend to mail the form please print it before you hit submit!

AFTER hitting SUBMIT you will then be taken to a the PAYPAL PAYMENT Page where you can pay online for your membership.

Call me if you have any problems at 631-724-0211 Tom Brogan,

 

This page was last messed with on 03/03/2008 09:21 PM

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