CJCA Application

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Membership Application for the
Cracker Jack® Collectors Association

 

Please make checks payable to:
Cracker Jack Collectors Association
(check those that apply below)

Individual membership: (USA) $20.00 _______

Individual membership: (Canada) $25.00 ______

Family membership: (USA) $24.00 _______

Foreign: Add $7.00 postage ______

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Mail to:

Theresa Richter, Membership Chairperson
5469 S Dorchester Ave.
Chicago, IL 60615


Name(s): ___________________________

Address: ____________________________

City:_____________________ State: ______ ZIP: ________ - ______

Optional information you may want to include:

Phone: (_____) ____________________

E-mail: __________________________

Year you started collecting Cracker Jack:______.

Birthday (month/day):____/_____ Year you were born:_____ (Will not be published).

Favorites: ___________________________________________________

Other collectibles: _____________________________________________

I learned about the Cracker Jack ® Collectors Association from:

_____________________________________________________________

Yes, now that I am a member I would be interested in participating in the following areas of the CJCA:

            (circle:) newsletter | web site | membership | convention | graphic design | publicity | other

Thank you for your inquiry and HAPPY COLLECTING!    [ Back to CJCA Membership page ]


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