2 Yrs May Be

MEMBERSHIP APPLICATION

Renewal Member # (if known) New Membership Gift Adult Membership (U.S.)

Six bimonthly issues of ErrorScope per year and online access to current and back issues Bulk Mail *

1 year $25.00 2 yrs. $50.00

Youth (under 18) Membership (U.S.)

Six bimonthly issues of ErrorScope magazine per year Date of birth and online access to current and back issues

Youth (under 18) Membership (Foreign)

Six bimonthly issues of ErrorScope magazine per year Date of birth and online access to current and back issues

Bulk Mail

1 year $10.00 2 yrs. $20.00

1 year $20.00 2 yrs. $40.00

Family Membership (One Adult Membership and one additional family member in the same household, with additional family members extra)

Six bimonthly issues of ErrorScope per year, one subscription per household, and online access to current and back issues

Bulk Mail *

1 year $37.50 2 yrs. $75.00

Additional family member(s)

x $12.50 =

Life Membership (Available after one year of membership) Under age 55 Date of birth

Age 55 and over Date of birth

Bulk Mail *

$750.00

$650.00

Club Organization Membership

Six bimonthly issues of ErrorScope per year with no online access to current and back issues Bulk Mail *

1 year $25.00 2 yrs. $50.00

Foreign Membership

Six bimonthly issues of ErrorScope per year and online access to current and back issues or

Online only access to current and back issues of the Errorscope First Class Mail

1 year $37.50 2 yrs. $75.00

Online Only

1 year $25.00 2 yrs. $50.00

Donations to CONECA are graciously accepted.

Donations to CONECA may be tax deductible. Check with your accountant.

$ YN Programs

$ General Fund

*To upgrade from Bulk mail to First Class mail add $12.50 yearly for each subscription of ErrorScope.

$

TOTAL

$

Name Email Address Phone Number (optional) City Referred by James Motley State Zip Password (Minimum seven characters) Parental Consent for YN’s (For access to the Members Only section of the CONECA website) Please make your check or money order payable to “CONECA” and send to: CONECA Treasurer PO Box 48 Shanksville PA 15541

Additional membership applications and PayPal payment options are available at https://conecaonline.org/join-or-renew/ If you have questions about CONECA membership, email CONECA’s Membership Coordinator at *****@************.***. Your membership is subject to the rules and regulations set forth in the CONECA Constitution and By-Laws.

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