Date: ________________________

Club Name: ___________________________________________________________

Club President's Name : _________________________________________________

President's Address:
Street:_________________________________________________________________

City: __________________________________________________________________

State:___________________ Zip:__________________

TEL #: _______________________ FAX #:__________________________

EMAIL:______________________________________________________________

Please make check out in the amount of $50 and payable to JCAA.
Mail your check with this form to:

JCAA - 1201 Route 37 East; Suite 9 - Toms River, NJ 08753.

Do you have a question about becoming an Member Club ?

Please contact Paul Smith
JCAA Membership Secretary at:
908-899-2681 or Fax: 908-892-9274

Return to JCAA April 1997 Newspaper