2016 SPONSOR
MEMBERSHIP APPLICATION
PLEASE ATTACH BUSINESS CARD TO THIS FORM

Organization's Name

Mailing Address

Contact Person

Phone

Fax

E-mail

Website:

For Questions contact Paul Hiller at: (203) 924-1555, Ext 1318


Click Here

Please make out the check to CPPF inc and mail check for $400.00 with this form

CPPF inc
P.O Box 23,
Glastonbury, CT 06033

FEIN 06-1573714

Sponsorship covers a 12 month period. This entitles the sponsor to have
two (2) representatives from the organization to attend meetings at the member rate.