MALVERNE CIVIC ASSOCIATION
Membership Drive
All residents and business owners / operators are invited to participate. The Malverne Civic Association Web Page is continously updated and this will serve as the primary method of communicating future activities to all members.
Kindly complete the membership form below and mail your completed form and payment to Malverne Civic Association, PO Box 228, Malverne NY 11565-0228. Your participation is greatly appreciated!
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
Name _________________________________________________________________
Address _______________________________________________________________
Phone number __________________ E- mail address___________________________
Membership is $10.00 per year, per household. Please pay by check or cash.
I am interested in serving on one of the Civic Association Volunteer Committees:
(please check all that apply)
___ Events
___ Newcomer
___ Publicity/Web
___ Community Calendar
___ Membership
An issue / activity I would like to see the Malverne Civic Association address/organize is:
________________________________________________________________________
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
Receipt: Received $ for annual membership in the Malverne Civic Association
Cash _____Check_____Initials____________________
|
|