Guest couple (female/male) for one weekday visit to CCI. $20.00/male Pre-payment required.

To join 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:_______________________________________

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