MCSSA Membership

Annual MCSSA dues are $10.00 per year.  To participate in our activities, membership is required.

To become a member, either sign up for an activity (where the membership form is included) or fill out and mail in this form. Make check payable to MCSSA.

$10.00 for Annual MCSSA Membership                                                              $________

Optional: Donation to MCSSA to further MCSSA goals                                     $_________

TOTAL AMOUNT DUE                                                                                               $_________



City______________________________ State_______ Zip____________ Birth date____________


Emergency contact____________________________________________phone____________

Mail copy of this form with check for TOTAL AMOUNT DUE payable to MCSSA to:

14320 Fairdale Road
Silver Spring MD 20905

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