CPCA Members Contact Information 2023-24
Instructions:
1) Fill out Contact Information for each CPCA Member in your Household age 18+.  (Use 2nd form if more than 3 members.)
2) E-transfer the $20 household membership fee to: financescpca@gmail.com with the contact name "Champlain Park Community Association". (Interac will say "this contact has auto deposit enabled"if not delete and re-enter the contact.) Be sure to include your street address in the Message area to help us keep track of payments.
3) If you have questions or need assistance:  email the Membership Coordinator at  financescpca@gmail.com.  
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Household Address *
Name - Member 1 *
Email Address - Member 1
Phone Number - Member 1
Name - Member 2
Email Address - Member 2
Phone Number - Member 2
Name - Member 3
Email Address - Member 3
Phone Number - Member 3
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