Membership Form

Print out and mail to:

City Island Civic Association
P.O. Box 117
City Island, NY 10464

Please enroll me in the City Island Civic Association:

Name:
Address:
Telephone/fax:
E-mail:

  • New member
  • Renewal

What issues are of greatest concern to you (mark all that apply):

  • traffic
  • noise
  • overdevelopment
  • school
  • crime
  • quality of life
  • other

I volunteer to help with (mark all that apply):

  • newsletter
  • membership
  • hospitality
  • fund-raising
  • mailings
  • publicity
  • other

Enclosed is my check for $20 payable to City Island Civic Association

Donation to SONE (Save Our Natural Environment) legal fund $________