You may register online or by mailing use the form below.
To register by mail, please complete and print this form, then mail to:   
             CNC    PO BOX 254    Como, NC 27818
              
 (Items in bold are required)

Membership Application
Last Name:
First Name:
Spouse Name:
Number of Dependent Children:	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 More than 14
Email:
Phone:
Alternate phone (cell):
Address:
City:
State / Zip:	AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
IMPORTANT: I/we have read the CNC Policy Statement and agree to abide by it
Annual Membership Fee:	Select One Family - $35 Single - $25 Family - $72.50(AANR Family Membership thru CNC) Single - $40 (AANR Single Membership thru CNC) AANR/CNC Family Renewal ($107.50) AANR/CNC Single Renewal ($65)
Are you an AANR member?	Enter your AANR number:
Optional: Donation to CNC:	$ 0 $ 5.00 $ 10.00 $ 20.00 $ 25.00 $ 30.00 $ 35.00 $ 40.00 $ 45.00 $ 50.00 $ 55.00 $ 60.00 $ 65.00 $ 70.00 $ 75.00 $ 80.00 $ 85.00 $ 90.00 $ 95.00 $ 100.00 $ 150.00 $ 200.00 $ 250.00 $ 500.00 $ 550.00 $ 600.00 $ 650.00 $ 700.00 $ 750.00 $ 800.00 $ 850.00 $ 900.00 $ 950.00 $ 1000.00 $ 1250.00 $ 1500.00 $ 2000.00 $ 2250.00 $ 2500.00 $ 3000.00 $ 3500.00 $ 4000.00 $ 5000.00
	Additional Processing Fee: $10.00
	Total Due:
Comments or Questions:

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