Framingham Civic League
 Membership Application
 
  Please print legibly! Thank you.
Be sure to complete both pages of this form!
 Name: __________________________________________
 Address: __________________________________________
  __________________________________________
 City/Town: __________________________________________
 State/Zip: __________________________________________
 Phones:
(Home) __________________________________________
(Work) __________________________________________
(Cell) __________________________________________
 Email: __________________________________________
I would like to volunteer in the area(s) of:
_____________________________________________________
_____________________________________________________
_____________________________________________________
Donation Quantity Total
Individual Membership $25 per person    
Family Membership $50 per family    
Corporate Membership $100 per business    
Sustaining Membership $100 per person    
Additional donation to support the work of Civic League  
Total:  
  I enclose my payment of $_______________

Please make checks payable to: FRAMINGHAM CIVIC LEAGUE

-or- Charge this amount to my credit card:  []Visa  []MasterCard
(Sorry, we do not accept American Express)
 Credit Card #: __________________________________________
 Exp. Date: __________________________________________
 CVV Code: __________________________________________
  CVV code is the last 3-digit number located on the back of your card, on or above your signature line.
 Signature: __________________________________________

Please drop off or mail to
Framingham Civic League
214 Concord Street
Framingham, MA  01702-6713

 THANK YOU FOR SUPPORTING CIVIC LEAGUE!