Membership or Subscription Form

Membership (newsletter + Members Only website): $14.00 US per calendar year.

Subscription (newsletter only): $10.00 US per calendar year. (Gift subscriptions can be purchased.)


If Please print this form, fill it out, and mail it with the correct amount to the address given below.
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CCFHA Member Application & Profile Form
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Name: ________________________________________

Address: ______________________________________

Address2: _____________________________________

City: _________________________________________

State: ____________________________

Zip code: _____________

Country, if not U.S.: _____________________________

E-mail address: ______________________________________

Birthday (month & day): _________________________

Your CCFHA Family Division No. (if known): ________
   Your Corson (or related surname) line of ancestors:

How would you like to receive the newsletter?  Electronic (by e-mail) ______   Paper (by mail) ______ 
 
 
 
 

Other comments:
 
 
 
 
 

 

Send this completed form to: CCFHA, c/o Gale Corson, 434 Nikki Drive, Santa Rosa, CA, 95401.

Remember to include a check or money order (made out to "CCFHA") for the correct amount (U.S. dollars).