One moment please...
Membership Application

Thank you for your interest in Christ Child Society of Northern Michigan.  We are an all volunteer service organization. 

Please fill in this form for our directory and data base.  

Please remit $75 for your annual dues by mail to: Christ Child Society of Northern Michigan, P.O. Box 132, Harbor Springs, MI 49740 or pay with credit card by contacting Deb Nachtrab, Treasurer, 231.439.5596.

Contact Information

*

First Name
Last Name


First Name
Last Name


Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country


Please indicate all areas of interest:

What skills do you bring to CCSNM?
Please Tell us About A Little About Yourself