Renew Membership

Member Name:*
Title / Profession:*
Company Name:
Address*
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Phone*
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Membership Type*
Member Names*
Please list name(s) and e-mail addresse(s) of all member(s).
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Total
$0.00
I understand that membership is a one-year period from the date of application. I understand that membership continues beyond the first year and that I will be billed annually for my dues unless terminated by my written notification.

By clicking the Submit Application button below you will be taken to PayPal to complete the payment of your application fees.

For more information, contact:

Admin: Malcolm Little // admin@adclubct.org // 860.500.8519

Membership Director: Charmaine Seavy // charmaine@cvmediainc.com // Main: 860.651.8123 Mobile: 860.305.5897