Telephone: (718) 979-6011
Address:
MEMBERSHIP APPLICATION
Your support is the key to our success. For only $15.00 per year, you can become a member of New Dorp Central Civic Association (NDCCA) and get involved in your community.
In addition to receiving our monthly newsletter, membership in NDCCA allows you to participate in meeting discussions, vote at our General Membership Meetings, run for elected office in NDCCA, join our committees, and participate in our activities.
To become a member of NDCCA, please complete this application and return it today with your $15.00 check for a year’s membership.
__________New
Member _____________Renewal
Name:________________________________________________________________
Address:
______________________________________________________________
Apartment
#:_________________________________
Phone # __________________
Email address:
____________________________________________________________________
Number of family
members in household: ______________
Occupations
(optional):____________________________________________________
Would you be
interested in volunteering your time to NDCCA?
Yes No
If yes, how many hours per month? __________________
Please indicate
below any committees in which you might be interested in joining:
(Please number your 1st and 2nd
choices).
|
___Membership |
___Public
Relations |
___Advertising |
|
___Education |
___Zoning &
Building |
___ Graffiti |
|
___Grievances |
___Dining Program |
___ Social
Activities |
|
___Traffic
& Streets |
___History/Memories |
___Laws &
Legislative Action |
|
___Cable
TV |
___Land Use |
|
Comments: ____________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Thank you in advance for your support. Please feel free to call us at (718) 979-6011
with any questions.