Please Download the form to the right

 

Fill it out completely including Name, Address, Phone and EMail

 

 

Please PRINT legibly so we can read everything easily

 

We have had issues in the past not being able to reach members because we could not read phone numbers or email addresses.

 

MAIL TO:

CCCCJVL

 

613 Greendale Drive

 

 

Janesville WI 553545