CAZEO MEMBERSHIP APPLICATION 2012
It's time to pay your CAZEO membership dues.

Please print out this sheet, fill in the blanks so we can update our
files, and return with payment for your 2012 CAZEO membership.

Name: ___________________________________________________________________

CZEO:  Yes  /  No                 CZET:   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

If you haven't already done so, please pay your dues for 2012. (Due by February 1, 2012.)

Regular / Associate Member-$50.     ( Student Members- Free)

Please make checks payable to: CAZEO.

Please bring this form to a CAZEO Meeting, or mail it with your payment to:     
CAZEO  
c/o Robin M. Newton, Treasurer
Town of East Windsor
11 Rye Street
Broad Brook, CT 06016

 Dues must be paid to receive the CAZEO NEWSLETTER

Please click here for a pdf of this form.