WillowbendCivicClub
DUES FORM
MAIL THIS FORM ALONG WITH PAYMENT
TO:
Rudy Espinosa
4310 Waycross
Name:
_________________________________________________________
Address: _______________________________________________________
Phone:
________________________________________________________
Email Address:
__________________________________________________
The information above will be
included in our current Willowbend Neighborhood Directory, unless you request
otherwise on the last part of this form.
Civic Club Dues are $125, and should be remitted as of of
June 1, which begins our fiscal year. You may pay the $125 dues all at
one time, or in smaller payments. 80% of your our dues money is dedicated
to operating our Security Patrol. The
rest covers mailings, newsletters, Boulevard maintenance, a small amount of
office supplies, and spraying for mosquitoes when it is deemed the need is
present.
Please
make your check payable to Willowbend Civic Club
AMOUNT
YOU HAVE ENCLOSED:
___________________
ABOUT EMAIL: Occasional emails will be sent to you from the Civic Club unless you indicate that you do not wish to receive them. We send out emails via BCC so no one else can see or use your email address. These emails will include information about lost pets, reminders re. heavy trash and recycling, emergencies, and security issues. You may also receive information about neighborhood activities such as National Night Out.
MY
DIRECTORY PREFERENCES:
PUBLISH
MY NAME AND PHONE NO. IN THE DIRECTORY: yes no
(circle
one)
PUBLISH MY
EMAIL ADDRESS IN THE DIRECTORY: yes no
(circle one)
SEND
ME EMAILS AS DESCRIBED ABOVE: yes no
(circle
one)
You may contact the civic club at
any time by emailing us at: info@willowbendcivicclub.org