USCGA -Chesapeake & Potomac

COAST GUARD ACADEMY PARENTS ASSOCIATION
CHESAPEAKE & POTOMAC CHAPTER
MEMBERSHIP REGISTRATION - JUNE 2008 - MAY 2009
Chapter dues and donations are the sole support of this Chapter since all money raised through memorabilia and collectible sales are dedicated to the Cadet Enrichment Fund for direct cadet support. Dues and donations are the only financial support received by the Chapter for all operating expenses. Membership includes an electronic newsletter and copy of the Chapter Directory. We ask for your support through these dues and donations.

Parents and/or Guardians:_______________________________________________________

Street Address: ___________________________________________________

City/State/Zip: ____________________________________________________

Telephone Number: ________________________________________________

E-mail Address: ___________________________________________________

Cadet: __________________________________Class Year:_________

Academy Activities: ________________________________________________

Cadet Birthday: ____________________Cadet PO. Box # :_________________

Please include my/our information in the C&P parents directory. Yes / No
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Membership Dues for June 2008 -May 2009: $30.00 per family per year.

I/we would like to donate additional amount for Cadet Enrichment Activities*$____________ (*i.e., goodie bags, pizzas, subs, sodas for cadet groups coming into our area.)

Total Amount Enclosed: $_______________

Thank You!
Please make check payable to: Chesapeake & Potomac Chapter, CGAPA

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PLEASE FORWARD THIS FORM WITH CHECK TO

Deborah Velencia
10771 Bridlerein Terrace
Columbia, MD 21044
Tel: (410) 964-8443
Email link to Membership

C&P Chapter-CGAPA looks forward to supporting your cadet and family over the next year. Thank you for your membership and dues/donation. We encourage you to become active in the chapter, attend meetings and events, whenever possible, and participate on committees.

Sumus Vobiscum! (We are with you!)