Join Us

MEMBERSHIP APPLICATION
(Please print the form and mail it to the address below)

Please check your type of membership:

Contributing Membership
____ $15.00 Yearly

Active Membership
____ $100.00 Yearly

Name_____________________________________

Address___________________________________

E-Mail____________________________________

Make checks payable to:
CQSCC

Mailing address:
CQSCC 100 Arch Street P.O. Box 702
New Britain, CT 06050

CQSCC, Inc. is a non-profit organization