Member Benefits - Member Application
 
 
Name and Title:
 
Company, Agency or Center:
Address: 
Phone:
Fax:
E-mail:
Enclosed please find my check for membership:
Individual ($20) Non-Public Agency ($50)
Student ($15 - valid student ID required) Business/Corporate ($200)
Child Care Center, 1-20 children ($25) Patron ($200 or more): $
Child Care Center, 21 or more children ($50)
Make checks payable to HFPG/HACCC. The Collaborative’s membership year is January through December. A sliding fee scale is available upon request. Please list the names and addresses of any colleagues who would have an interest in the Collaboratives’ activities. Call 860.241.0411 or send e-mail to HACCC@haccc.info for more information.
  
 
     
 
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  10 Columbus Boulevard, 8th floor, Hartford CT 06106     ph: 860-241-0411    fx: 860.524-8346     email: haccc@haccc.info
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The Hartford Area Child Care Collaborative is a project of