This is the CAPCA/NPCA Membership Reply Card. Please print this page, complete it, and mail it to:

CAPCA Membership
P.O. Box 1149
Chicago, IL 60690
Please make checks payable to CAPCA.

-or-

Apply online with NPCA and choose CAPCA as an affiliate group.
 
New Member Renewal New Address
 
One year free for newly returned RPCVs  
Individual $15 for CAPCA only  
Individual $50 for CAPCA and National Peace Corps Association  
Family $22 for CAPCA only   
$500 Lifetime Membership (to CAPCA only; does not include NPCA dues) 
$_____________Unrestricted Donation  
$_____________Restricted Donation for ________________________________ 
Interested in giving talks about Peace Corps 
Would not like my name in the CAPCA directory 

 Name:____________________________________________________________________  

Address:___________________________________________________________________  

City:___________________________________ State:_______ Zip:___________________  

Home #: _______________ Work #:_________________ E-Mail:____________________  

Country/Years of Service:____________________________________________________  

Peace Corps Job Assignment(s):_______________________________________________  

Current Position and Employer:_______________________________________________ 

How did you hear about CAPCA? 

 
 
Enrolling in both the National and Regional RPCV organizations will give you a subscription to our newsletter and to the award winning national magazine WorldView, and all rights and privileges pertaining to both organizations.