MEMBERSHIP FORM

Annual Dues: $20.00 per household

Name ___________________________________________ Date _____________

Address __________________________________________ Phone ____________

Email Address ______________________________________

Children’s Names and Ages _________________________________________________

Dues are paid in September for the following calendar year. Please mail this form with your $20 dues (additional contributions welcome), payable to the Llanerch Civic Association or bring to Park Day in September.

We are always seeking the support of additional persons interested in pursuing and working on the stated objectives of the association, which are to promote a sense of community and help maintain and enhance the residential character of the neighborhood. Please let us know how you can help.

_____ I am interested in serving on the board of directors. The board members work on long-range planning, oversee the budget, coordinate events and chair various committees. This commitment requires coming to 5-6 meetings a year. If interested, a board member will call you to discuss what is involved.

_____ I cannot serve on the board, but I would like to help with the following:

_____ Park Day

_____ Fourth of July Parade

_____ Easter Egg Hunt

_____ Llanerch Fire House Garden Committee

_____ Llanerch Crossing Park

_____ Distribute Flyers / Help with Mailings

We welcome your comments and suggestions. Please us the space below to let us know what direction you would like the Llanerch Civic Association to take.