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Form
WNCCCA
(Western North Carolina Conference Center Administrators)
A section of IACCA
MEMBERSHIP DUES AND APPLICATION FOR MEMBERSHIP
CHECK HERE IF YOU ARE A NEW MEMBER
Center Name:
Address:
City: State: Zip:
Telephone: Fax: Email:
Web Address:
Executive Director/Manager/CEO:
Primary Contact name and Title:
Primary Contact Email Address:
 
Check One:# of Primary Year-Round Staff:2008 Membership Dues
1-10 Employees$ 35.00
11-20 Employees$ 50.00
21-50 Employees$ 75.00
51-100 Employees$100.00
101 and above$150.00
  Complete the information above. Print and mail the form with a check, or click the send button on the form to email, and mail the check separately. Make check payable to:

Western North Carolina Center Administrators Association (WNCCCA)
Mary Alice Murphy, ma.murphy@christmount.org 

WNCCCA Secretary/Treasurer
222 Fern Way
Black Mountain, NC 28711

Thank You