
2005
Name: _____________________________________ CZEO Yes No AICP Yes No
Town (Company / Organization) ____________________________________________
Address: _______________________________________________________________
Phone: __________________ FAX: ______________ E-mail: ________________
Position (Title)__________________________________________________________
Has your membership information changed since last
year? Yes No
Membership Dues 2005:
$25.00 (no fee for students)
Please make checks payable to: CAZEO. Due by
Bring this form to a CAZEO Meeting, or mail it with your
payment to:
c/o Tom Gormley -
Town of Redding
100 Hill Road, P.O. Box 1028,
Redding, CT 06875
Dues must be paid to receive the CAZEO NEWSLETTER.