|
CCSA administered by:
Ramey & King Insurance
1-800-453-9691
and
Sleeper, Sewell & Company
1-800-540-8926
| |
Members of CCSA are respected
child care professionals working together to improve the safety of care
extended to America's most precious resource...our children! To join
CCSA, print the form below, fill in the information requested on the
form and mail it today to CCSA along with a check made payable to
Child Care Safety Association.
Cut Here
-------------------------------------------------------------------------------------------
Cut Here
Sign me up! I would like to be a
Charter Member of the
CHILD CARE SAFETY ASSOCIATION
|
Center Name:
|
Phone: (
)
- |
|
Owner's Name:
|
Licensed Capacity: |
|
Address:
|
City, State & Zip: |
|
Member Signature:
Date:
|
I wish to join the Child
I wish to join the Child Care Association and have enclosed
either a check or a money order for the following amount:
[ ]
$10.00 INDIVIDUAL MEMBER (Home-Based
Child Care)
[ ]
$25.00 LICENSED CENTER MEMBER (Center-Based
Child Care)
Return to: CCSA, 510 North I-35, Denton,
TX 76205-5867
|
|
