Please Print out the form below and mail:
Membership Form
2007 CALVERT COUNTY FAMILY DAY CARE ASSOCIATION
             MEMBERSHIP APPLICATION

Cut out and mail to:   P.O. Box 2704
                Prince Frederick, MD 20678-2704

ANNUAL DUES:  $20.00 – All memberships run from June 1st through May 31st of the next year.

PLEASE MAKE ALL CHECKS PAYABLE TO C.C.F.D.C.A. AND REMEMBER TO INCLUDE YOUR
PHONE NUMBER ON ALL CHECKS.

NAME:  _______________________________________________________________________

NEW MEMBER:  _________

RENEWAL:  _____________        CURRENT MEMBERSHIP NO:  __________________________

ADDRESS:____________________________________________________________________

_____________________________________________________________________________


STATE:  ____________        ZIP CODE:  _________________

PHONE:  __________________________________________

Will you help us make your association grow, such as making telephone calls, or serve on a committee,
etc.?____________________________________________________________________________  
Name of Committee ________________________________________________________________

E-MAIL:  _________________________________________________________________________