New Member Application

 
If you are interested, please fill out the form below. You will get a confirmation when we recieve your application. Please keep in mind - You must be over the age of 25 and live within 45 minutes of Coalport, PA. Your application will be denied if either of these 2 requirements are not met. You must also have a computer that is online.
 
Full Name :: Full Name
 
Date of Birth :: MM/DD/YYYY
 
Address 1 :: Street Address
 
Address 2 :: Address Line 2
 
City/Town :: City/Town
 
Zip Code :: Zip Code
 
Phone Number :: XXXXXXXXXX Format
 
Email Address :: Valid Email Address
 
 


 


 



 


 


 


 


 
Do you have any of your own equipment ? :: Hold CTRL Button to choose multiple Options
 
 
  
 
 
CCPI is a serious working paranormal group. We are 501(c)3 non-profit, and we conduct ourselves in a professional manner. We do pay $15 a month for dues and your first month's dues are expected at the time of interview.