ReStart an Expired Membership. $100.00 Pre-payment required.

Note: Once your pre-payment is received you'll receive driving directions to the club by E-mail. There are No Refunds.

To ReStart by US Mail with money order. No personal checks.

 For everyone's discretion, make the money order payable to: QuadM, Inc.

Print this form and mail to
CCI POBx 262 Delanson,NY 12053

First Name:__________________________________________

Last Name:___________________________________________

Email address:_______________________________________

Your CCI # ( if you can remember it.) _______________

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