Coastal Carolina Taxpayers Association or CCTA
P. O. Box 1043, Havelock NC 28532
Donations Are Tax Deductible!
Name: ________________________________________________
Address: ______________________________________________
Phone: _______________________________________________
Email Address: _________________________________________
As an American Patriot who is concerned about current issues,
please sign me up to help.
Individual Membership $25.00 Business Membership $50.00
Family Membership $35.00 Donor Contributor
Payment Method: Cash
Check # _________