Registration Form

Name:

Enclosed is

$30.00 for CCC registration.

Address:

$20.00 for CAG membership (1 year)

 

$35.00 for CAG membership (2 years)

City/State/Zip:

$50.00 for CAG membership (3 years)

Telephone:

$________for raffle tickets ($1.00 each)

Email:

$___________ Total Amount enclosed

Make checks payable to CAG and send to: CAG, P.O. Box 69, Groveland, IL 61535

Want to fish next to a few friends? Yes No     How many? ______

Are their registration forms and checks attached? Yes

Each of you must fill out one of these Registration Forms, they all must be stapled together and submitted at the same time. Payment for each individual must be included.

 


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