Membership Application

Tacony Civic Association 2019 Application

Name(s)_________________________________

Address_______________________________

            _______________________________

Phone_________________________________

Email__________________________________

Newsletter Preference: ___ email   ___ US mail

Amount_________ $10 per Household,  $5 Seniors

Donation___________

I am interested in helping with  the following committees:

__ Zoning    __ Quality Of Life   __ Membership    __ PR

__ Events     __ Clean & Green   __ Fund-raising    __Other

Please mail application and dues to:

Tacony Civic Association

P.O. Box 8979

Phila Pa 19135

Thank you!