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NCC MEMBER CLUB INFORMATION FORM
Please complete before returning with your 2010 dues remittance

CONTACT QUESTIONS:
Please verify the current email address for the NCC to contact your club rep: ________________________________________
Club Rep (name, mailing address & phone number) ___________________________________________________________
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Club President (name, mailing address, email & phone number __________________________________________________
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Newsletter editor (name, mailing address, email & phone number) ________________________________________________
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If the same person fills one or more of the above positions, provide the name, mailing address, email & phone number of your club vice-president._____________________________________________________________________
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CLUB OPERATION QUESTIONS:
Club Name____________________________________________________________________________
How many individuals are currently members of your club? ________     When was your club established? _________
In what town or city does your club hold meetings? ________     What State/Province?______________________________
How many meetings do you have per year and when do you meet? ________________________________________________
Does your club have a web site? _____      If so, please give us the URL (address):_________________________________
Is your club pin currently featured on our website? Yes____   no____   don't know____
Does your club have bylaws? _______      Does your club have an active lending library____________________
Have you ever visited the NCC website (www.ncc56.com)?_______      Have you been there in the last 60 days? _______
Any suggestions to improve our website?___________________________________________________________
Any suggestions to improve the NCC Bulletin?___________________________________________________________
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