New Membership Form

* First Name:
* Last Name:
* Address:
* City:
* State:
* Zip:
 e.g.: 28134-1022
* Home Phone:

e.g.: (704) 555-1212
Work Phone:

e.g.: (704) 555-1212

* E-mail Address:

e.g.: you@yourisp.com
Personal Web Site:
if none, please leave blank
Your Birth Month & Day:
/  
Your Mac's Processor:


Note: If you have an older system that has been accelerated, please list the processor you are
currently using.
Your Mac's OS:

Your Internet Connection:
Your Browser of Choice:
Membership Directory Listing Option:

In the password-protected Members' area of the Club's Web site, we maintain a membership directory that includes the names of our members, their e-mail addresses, thier membership expiration date and personal Web sites. This directory is available only to paid CACC members in good standing. Please indicate whether or not you would like for your contact information to be listed in our membership directory.
* Denotes required entry