Kissena Park Civic Association

Membership Application Form

Print This Page and Join the KPCA

Kissena Park Civic Association
Application for Membership

Your Name(s): _____________________________________________

Address ____________________________________________________

Zip Code ____________

Telephone number _______________________________________

FAX number ___________________________________________

E-mail address __________________________________________

 Pay $15 for family membership.
Pay $10 for senior citizen membership.
Voluntary contribution

Total enclosed ---------------------------------------- $_____



Please mail this application to:

Kissena Park Civic Association, Inc.
P.O. Box 580423 Flushing NY
11358-0423




* Yearly dues are payable by January 1st of each year. New members who join after September 1st are paid through the following year.

Posted by joeamoroso on 12/15/2005
Sponsored Links
Advertise Here!

Promote Your Business or Product for $10/mo

istockphoto_1682638-attention.jpg

For just $10/mo you can promote your business or product directly to nearby residents. Buy 12 months and save 50%!

Buynow

Zip Code Profiler

11355 Zip Code Details

Neighborhoods, Home Values, Schools, City & State Data, Sex Offender Lists, more.