CERA-Member-Request

Country Estates Recreational Association

REQUEST for Membership

If you are interested in becoming a member of the Country Estates Recreational Association, please complete this form to request a membership.
By completing this form does not guarantee any membership into CERA.

Type of Membership Requested?

Family Single Couple

Name: (if family include both names)

Address:

City

State

Zip

Email

Phone Number

Current Member Recommending (name)

Recommending person's phone #

Please be sure your information is accurate.
CERA has a limited number of memberships available annually.
Completing this form does not guarantee a membership opportunity.
We will verify recommendating members.

Country Estates Recreational Association

REQUEST for Membership

Please do not post more than one time, multiple entries will be DELETED.