CFCWRT Membership Registration

MEMBERSHIP REGISTRATION FORM FOR THE CAPE FEAR CIVIL WAR ROUND TABLE
Date

MonthDayYear
The Cape Fear Civil War Round Table meets on the second Thursday of each month at St. John’s Episcopal Church, Elebash Hall, 1219 Forest Hills Drive in Wilmington, NC. Anyone with an interest in Civil War history is cordially invited to attend the meetings. Annual Dues are due on the one year anniversary of the month you joined.
New or Renewing Member or Military/Student or Corporate?*

New MemberRenewing Member with Unchanged Member InformationRenewing Member with Changed Member InformationActive Duty Military & Undergraduate Students (Free)Corporation / Company Membership
MEMBER INFORMATION
First Name*

TitleFirst NameLast Name
Second Name

PrefixFirst NameLast Name
Corporation / Company Name*
Address*

Street Address

Apartment #

CityState

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Cell Phone Number
Please enter a valid phone number.
Email Address*
example@example.com
INTEREST: What programs would you be interested in having?
What tours would you be interested in having?
Which activities might you like to support with volunteer time?

NewsletterCommunications / Public AffairsAudiovisual / ComputerTour organizationWebsite & Social MediaMembershipAccountingMeeting Logistics (Setup ,Take Down)
Payment Method*

Pay by Check/CashPay with PayPal / Credit Card
CFCWRT Dues Options - Choose One Only*

CFCWRT Standard Individual/Family - Annual Dues - $30CFCWRT Associate Individual/Family - Annual Dues - $15CFCWRT Corporation/Company & Individual/Family Sterling Sponsorship - Annual Dues - $50CFCWRT Corporation/Company & Individual/Family Gold Sponsorship - Annual Dues - $100CFCWRT Corporation/Company & Individual/Family Platinum Sponsorship - Annual Dues - $250
CFCWRT Dues Options - CHOOSE ONE ONLY*
prevnext( X )
CFCWRT Standard Individual/Family - Annual DuesNormal dues.
$30.00



CFCWRT Associate Individual/Family - Annual Dues Available for individuals from distant Round Tables who desire to retain an affiliation with Cape Fear but are unable to attend meetings on a regular basis. Associate memberships also apply to disabled or infirm members unable to attend meetings. Honorariums may also be made through an Associate membership.
$15.00



CFCWRT Corporation/Company & Individual/Family Sterling Sponsorship - Annual Dues
$50.00



CFCWRT Corporation/Company & Individual/Family Gold Sponsorship - Annual Dues
$100.00



CFCWRT Corporation/Company & Individual/Family Platinum Sponsorship - Annual Dues
$250.00



Total

$0.00
Fill out above. Make Check Payable (for amount of Total above) to CFCWRT. Send Check/Cash Only (without form) to:
CFCWRT, Treasurer, 1008 Heron Run Drive, Leland, NC 28451
You will receive an email at your above email address with all of the filled-in information.
THE PAYPAL CHECKOUT SYSTEM ACCEPTS ALL MAJOR CREDIT CARDS
Pay with PayPal
Should be Empty:

MEMBERSHIP REGISTRATION FORM FOR THE CAPE FEAR CIVIL WAR ROUND TABLE

MEMBER INFORMATION

Fill out above. Make Check Payable (for amount of Total above) to CFCWRT. Send Check/Cash Only (without form) to:

CFCWRT, Treasurer, 1008 Heron Run Drive, Leland, NC 28451

You will receive an email at your above email address with all of the filled-in information.

THE PAYPAL CHECKOUT SYSTEM ACCEPTS ALL MAJOR CREDIT CARDS