Joined: 22 Oct 2005
|Posted: Sat Oct 25, 2008 8:39 am Post subject: AGENT REPORT
If you are not receiving the Agent Report it may be because you have not made of change of address when you moved or that you have not paid your annual dues. Below are the forms to correct this situation and you will again be receiving that great Agent Report again.
Do You Have A New Address?
Membership Number (s) ___________________________
Full Name (s) ____________________________________
State______________ ________________Zip __________
E-Mail Address (If any)____________________________
Clip and send to Stan Solin, Stan Solin;
P.O. Box 31-111
Anaheim, CA 92809
ACICV ANNUAL MEMBERSHIP DUE (Annual Dues $25.00 per household)
Member Number(s) _______________________________
Name (s) ________________________________________
City, State, Zip ______________________________________________
Telephone Number (_____)______________________________
Email Address (if any)________________________________________
Annual dues payable NLT 31 March .
MAKE $25.00 CHECK TO ACICV, INC AND MAIL TO: MICHAEL SCHLENOFF, 28 PARKWAY DRIVE, SYOSSET, NY 11791-6618
For Office Use
Amount Paid $___________ Check # _______ Dated_______