Print and mail this page, with a check payable to WCOC,  to:

Jim Henderson
Treasurer, WCOC
20 Phelps Rd.
Manchester, CT 06042



Name:

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Names of family members (for family memberships):

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Street:

City:

State:

Zip:

Phone:

E-mail:

Is WCOC your primary club?   Yes     No
(While you may belong to as many clubs as you wish, USOF asks that you pick a primary club. If you race in USOF-sanctioned events, you can only compete for your primary club.)

Dues:
Individual: $12
Family:      $18
Student:    $7