Name(s): Address: City: State: Zip Code: Home Phone: Work Phone: Email: Contact Person: For Business, Organization, Condo Association, etc
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
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