Chicago True Advocates - Membership Form

CTA Membership - JOIN!!!

Fill in the Blanks and Print this Form

Annual Membership Dues
$24.00 for the U.S. $26.00 for Canada $33.00 for everywhere else	All non-US checks and money orders MUST be drawn on or payable through a United States bank.

Please Check:

Requesting Membership
Renewing Membership
Updating Your Information

Membership Number (If renewing or updating)

E-mail Address:

Name:

Address:

City, State, Zip:

Home Phone Number:

Work Phone Number:

Cell Phone Number:

Birthday:

Free Ad for Memorabilia Trading Page:

DON'T FORGET TO PRINT THIS FORM!!!

Mail your printed form along with your check or money order
made payable to "CHICAGO TRUE ADVOCATES" to:

CTA Membership
P.O. Box 195
Landing, NJ 07850
USA

Please allow 4-6 weeks for processing.