EAST LAWNDALE CIVIC ASSOCIATION
MEMBERSHIP FORM
2007 DUES
Name(s):
Address:
Home Phone: Alternate Phone:
Email Address:
Children Names and Ages:
***
I am interested in volunteering for the following committees (check all that apply):
____ Beautification ____ Fund Raising ____ Special Events
____ Block Captain ____ Membership ____ Telephone
____ Citizens on Patrol (COP) ____ Newsletter ____ Welcome
____ Deed Compliance ____ Yard-of-the-Month
Other special talents include:
***
Resident Dues: $10.00 Per Household Non-Resident Dues – Friends of ELCA
Amount Paid:____________________ Amount Contributed:
Any additional contributions you wish to make for any specific (see below) or general fund will be greatly
appreciated:
Beautification $__________
Citizens on Patrol $__________
Mason Park Project $__________
Other $__________
Total Amount Paid $__________
Please remit to: East Lawndale Civic Association, P. O. Box 231243, Houston, TX 77223-1243.
Thank you,
Treasurer