Please print this page, complete the form, and mail it to the address below.
We greatly appreciate your support. Your donations help fund community events, outreach, and activities.
Licton Springs Community Council Membership & Renewal Form
YES! Start my membership. I have enclosed $15.
Please renew my/our membership(s). I have enclosed $15.
Please keep me on your mailing list; no membership at this time.
Name(s)
___________________________________________
Address
___________________________________________
City,
State Zip
___________________________________________
Phone
___________________________________________
E-mail
Address
___________________________________________
Dues paid cover your membership for the calendar year. We hope that you renew your dues at the beginning of each year. Please support the Community Council's work with your membership!
Make checks payable to : Licton
Springs Community Council
Mail to:
Licton Springs Community Council
c/o Debra
Willendorf
9736
Wallingford Ave. N.
Seattle, WA 98103
