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Member Directory Data

Use this form to update your CNCC Member information. Please capitalize and abbreviate formally. Phone numbers should be entered 207 363 9999

BLUE STARRED ITEMS are required, all other information is optional.

NOTE: 2009 Membership Directory printing deadlines require that your changes or additions be received by April 30th, 2009.

Member Name
required field
Member E-mail
Member Cellphone
SpousePartner Name
Spouse / Partner E-mail
Spouse/Partner Cellphone
Permanent Mail Address
required field
Permanent Mail City / Town
required field
Permanent Mail State
required field
Permanent Zip
required field
Telephone Home
Telephone Business
Fax
Summer Address
Summer City/Town
Summer State
Summer Zip
Summer Home Tel
Emergency Contact Name
Emergency Contact Phone
required field = Required