2023 ChYC Auxiliary Membership Renewal/Application
Please fill out the information below to renew or join the ChYC Auxiliary. Dues are $40 and can be tabbed to your account.
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Email *
First Name *
Last Name *
Name of Spouse
Member Number *
Address *
City *
State *
Zip Code *
Occupation *
Contact Phone Number *
Birthday (Month/Day) *
Anniversary (Month/Day)
Choose one or more of the following committees you would like to participate in: *
Required
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