PLEASE NOTE: If you want a copy of your membership application, please type CTRL+P or use your browser's print function prior to submitting. You will not receive a completed copy of this form after you submit. If you need to complete your membership application manually and mail/fax it, click here(please do not send a printed copy of this form).
City, ZIP
The benifits of becoming a member of CCUG include, but are not limited to:
CCUG provides a forum for the exchange of information between CLETS users, CLETS staff (DOJ & DMV), and vendors who povide related systems and services.
CCUG provides training on the multitude of files avaiable through CLETS, their contents, and proper access and dissemination
CCUG helps keep you abreastof upcoming changes in CLETS accessed files and their effect on local system operations
CCUG helps you stay infomred of related vendor products, services, and technologies
Your agency will receive a special member registration price for the CCUG Training & Technology Seminar ($100 savings for EACH person from your agency who attends) to be held September 11-14, 2012 in Foster City, CA.
*REMEMBER, DUES MUST BE PAID BY jUNE 30, 2012 TO RECEIVE THE MEMBER REGISTRATION PRICE FOR THE 2012 CCUG SEMINAR
Agency annual membership dues are $75.00 PER AGENCY. All personnel from memberhip agencies are entitled to receive all membership benefits. While the primary contact for each agency will receive all CCUG correstpondence, if additional persons would like to receive correspondence plrease list them in the fields below. Please be sure to include an e-mail address as this is the primary means of CCUG contact.
Name
E-mail
PRIMARY JOB FUNCTION:
Name
E-mail
PRIMARY JOB FUNCTION:
Name
E-mail
PRIMARY JOB FUNCTION:
Name
E-mail
PRIMARY JOB FUNCTION:
Speace saver only
Name of submitter - if paying by credit card, please provide the name on the credit card
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