Online Membership Form
Please enter your information below:
Name:
Street Address:
City, State, ZIP:
Phone Number:
Email Address:
I would like to receive email updates on PPNA news and events.
Please select one for yearly dues:
$15.00 per Household $25.00 per Business $8.00 per Senior Household
Please check any and all areas for which you would be willing to volunteer/participate:
Economic Development/Zoning (Residential/Retail Development, Restaurants/Entertainment/Cultural Venues) Special Events (Parade, Holiday Party) Childrens Activities Seniors Activities Fundraising Community Service Newsletter (Distribution, Writing) Portage Park History Garden Club Safety/CAPS Other:
Please list any special skills or background you have: (Public Relations, Legal, Accounting, Musical/Artistic, Bilingual, etc.)
Please list any ideas you have in regards to PPNA mission and activities:
updated 09/02/2007 | comments