Miller Place Civic Association, Inc |
P.O. Box 623, Miller Place, NY 11764 |
MEMBERSHIP APPLICATION 200__ |
|
Dear Neighbors, The Miller Place Civic Association has been serving our community since 1972. Our mission is to continue to maintain and improve the quality of life in this historic hamlet and we request your support and member ship. We currently need help with community issues such as: Zoning, Environment, School Affairs, Beautification, Architectural Integrity, Traffic We welcome your help! |
Annual Membership Dues: $15 (per family) |
|
New Member_________ Renewal___________
|
| Name_________________________________________ |
| Address_______________________________________ |
| Hamlet_________________State______Zip__________ |
| Phone__________________ Email__________________ |
| I am interested in the ________________committee. |
| To join the Civic: Print and fill out this web page and send your check for $15.00 to: |
| Miller Place Civic Association |
| PO Box 623 Miller Place, NY 11764 |