Membership Application

Name*
First Last
Address*
Street Address City State ZIP Code
Other Directory Information
Spouse / Significant Other
Home Phone
Cell Phone*
Email*
Birthday (you may use most recent year instead of actual year)*
YYYY slash MM slash DD
Date joined CWC
YYYY slash MM slash DD
Untitled
- Check here if any information has changed since the prior directory
- Use business address as primary mailing address and list in the directory INSTEAD of home address
Business Members Only
Employer
Title
Business Address
Business Street Address Business City Business State Business Zip
Business Phone
Business Email
Business website
If you would like to list your business on our website, please select Business Member below which costs $150 in place of Regular or Legacy dues.
This is a text only listing with links to your business email and website.
Membership Level for June 1, 2024 - May 31, 2025
Membership Levels*
- Regular Membership, $75
- Legacy Membership*, $35
- Business Membership, $150
*Members who are over the age of 65 and have been regular members in the Club for at least 10 consecutive years qualify for Legacy Membership.
Total Enclosed
Total Enclosed:
$0.00
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Email
This field is for validation purposes and should be left unchanged.

Other Directory Information