constitution.jpg (109838 bytes)

 capitol2.jpg (117996 bytes)

COALITION FOR A CONSERVATIVE MAJORITY - DENVER CHAPTER

MEMBERSHIP APPLICATION

Joining CCM-Denver is now easier than ever. Simply fill in the requested information below and click "Submit" to send the information. Then bring your membership dues payment (cash or check) to the next Chapter Meeting and your membership will be activated.

In order to cover Chapter expenses, CCM-Denver requires that all members, except for full-time high school or college students, contribute $__ per year, payable by January 1 of that year. Dues payments should be made payables to "CCM-Denver". If preferred, payments can be mailed to:

Treasurer - CCM/Denver
               (Address)

MEMBERSHIP APPLICATION FORM

FIRST NAME:

LAST NAME: 

ADDRESS:    

CITY:    ZIP: 

TEL. NO. 

E-MAIL ADDRESS:  

H.S./COLLEGE STUDENT:  YES    NO    (SELECT ONE)

SELECT YOUR THREE (3) PRIMARY ISSUES OR AREAS OF CONCERN:

  ECONOMY               TAXATION               FAMILY VALUES    

  U. S. CONSTITUTION                            NATIONAL SECURITY 

  FOREIGN AFFAIRS                                  2ND AMENDMENT   

  ENERGY ISSUES        IMMIGRATION       HEALTH CARE 

    OTHER (SPECIFY)