Please return payment made out to ‘NYSTCA’ for $10.00 and form to:
Allison Dispense RMC/CMC, Membership Chair
Town of Pomfret
9 Day Street
Fredonia, N.Y. 14063

NYSTCA ASSOCIATE MEMBER APPLICATION FORM


July 1, 2019 to June 30, 2020

THIS FORM MUST BE RETURNED WITH YOUR MEMBERSHIP PAYMENT

Town Clerk

*Thank you for your continued support of our great association!
Once this form is submitted, you will be provided with the option to pay online for membership fees.