Membership Form

Please print this form, complete it, and mail it with a check for $18.00 to:
CCHE, P.O. Box 5941,Vancouver, WA 98668

Date: ________________

Please check one: _____ New Membership _____ Renewing Member

Name __________________________________________

Spouse's Name ________________________________________________

Address ______________________________________________________

City ____________________________________State ________________

Zip + 4__________________-__________

Phone (____)___________________________ (include area code)

E-mail ________________________________

Would you like to be placed on the e-mail list? ______ YES _____ NO

Note: If you request to be on our e-mail list, we assure you that your address will be kept confidential. Our Email list is used only to send you information on legislative actions or timely events of interest to homeschoolers.

We genuinely appreciate your support! Thank you for your membership!