Print, complete and mail.
Name: _________________________________
Address: ________________________________
City: __________________________ State: _____ Zip: _________
Telephone: ( )_______________
E-Mail Address: __________________________
One Year Membership Fees
Individual: $10.00_____
or
Family: $15.00_____
Date: ____________ Total: ___________
How did you find our website?
____ Word of mouth
____ Search Engine
____ Link from another site (Which site: ___________________)
____ Other (Please specify: ____________________)
MAKE CHECKS PAYABLE TO Roger Sutherland, write NCCT in the
lower left and mail to:
Roger Sutherland
5488 Warren Road
Ann Arbor, MI 48105