
Membership Form
Please print this
form, complete it, and mail it with a check for $18.00 to:
CCHE, P.O. Box 5941,Vancouver, WA 98668
Date: ________________
Please check one: _____
New Membership _____
Renewing Member
Name __________________________________________
Spouse's Name ________________________________________________
Address ______________________________________________________
City ____________________________________State ________________
Zip + 4__________________-__________
Phone (____)___________________________ (include area code)
E-mail ________________________________
Would you like to be placed on the e-mail list? ______ YES _____ NO
Note:
If you request to be on our e-mail list, we assure you that your address will
be kept confidential. Our Email list is used only to send you information on
legislative actions or timely events of interest to homeschoolers.
We genuinely appreciate your support! Thank you for your membership!