Join the Park West Community Association!
               
       Name(s): 
       Address: 
          City:   State:   Zip Code: 
    Home Phone:    Work Phone:  
         Email:    
Contact Person: 
                For Business, Organization, Condo Association, etc
Types of Membership:
 Individual $15
 Family $20
 Senior Citizen(each)$5
 Business, Organization,
   Condo Association,etc $35
   

New Member or Renewal of Membership:

I am a new member
I am renewing my membership

I(We) can serve on the following committees:
 Antiques Fair          Membership
 Board of Directors     Neighborhood Improvement
 Crime & Safety         Newsletter
 Donations              Playlot
 Events                 Schools Liaison
 Marketing &            Planning/Traffic/Zoning/
   Public Relations          Development

Additional Comments:

Please Send this completed form along with checks payable to:
Park West Community Association
P.O. Box 14845
Chicago, IL 60614-0845
Phone: 773.506.4460