Colonial Place / Riverview : Membership Form

Colonial Place / Riverview Civic League Membership Form

Member #1:	Occupation:
Member #2:	Occupation:

Address:

Phone:

Email:

Circle one: New Member Renewal
Circle if applicable: Senior--65 or older	Circle if applicable: Gift enclosed

Please circle areas of interest for Member #1 and Member #2 (if applicable):

1 2 Activities for Seniors	1 2 Dog Park
1 2 Art Walk	1 2 Membership
1 2 Beautification/Gardening	1 2 Newsletter Advertising
1 2 Board Position (Officer/Committee Chair)	1 2 Newsletter Distribution
1 2 Colley/Riverview Village Liaison	1 2 Newsletter Production
1 2 Community Garden	1 2 Other
1 2 Community Improvement	1 2 Publicity
1 2 Crime Prevention	1 2 Website

1 2 Social Activities (Holiday Party/Summer Social)

Should the Crime Prevention Committee contact you about joining the CPRV listserv? yes no

Annual Dues are $10.00 per person or $5.00 for persons 65 or over. Only paid members may vote at monthly meetings. Memberships expire on December 31 of each year. New memberships paid after July 1 expire on December 31 of the following year.
Make checks payable to: Colonial Place / Riverview Civic League

Additional Donation: $

Bring this form and your dues to any Civic League meeting, or mail them to P.O. Box 6130, Norfolk, Virginia 23508. Please do not mail cash.

Return to Members and Membership