MEMBERSHIP APPLICATION
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AN INVITATION TO JOIN THE
QUEENS VILLAGE CIVIC ASSOCIATION
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We need not only your financial support, but your contribution
of ideas, expertise, and time to make our community a better place.
Dues are $5.00 a year. Please mail this form to P.O. Box 0766, Queens
Village, NY 11428-0766 or enroll at our meetings. Make your
check payable to the Queens Village Civic Association.
NAME_______________________________________________
ADDRESS____________________________________________
PHONE (optional)______________________________________
HOW YOU CAN HELP (optional)_________________________
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