To join HOCC, please print out this page, fill in your information and mail with your check to:

HOCC Treasurer Maureen Conard
44 Euclid Ave
Waterbury CT 06710

Please Print.

Name: ___________________________________________________________

Address: _________________________________________________________

City: _____________________________________ Zip Code:_______________

Phone - Home: ____________________________________________________

E-mail: __________________________________________________________

I _____We______ wish to join HOCC.

Given as a gift by:___________________________________________________

Please check category of membership and make check payable to: HOCC