Membership

Join CIVITAS' continuing effort to make an impact on the quality of life in East Harlem and the Upper East Side by introducing a new member or by contributing.

Your support is very important to the work that we do. Please consider becoming a member of CIVITAS by filling out the form below, printing it out and mailing it with your check to CIVITAS.

Name:

Address:

City:

State:

Zip:

Evening Phone:

Day Phone:

Fax:

Email Address:

Membership Dues $50: ________

Contribution: ________

Total Amount: __________

Please return this form with your check to CIVITAS, 1457 Lexington Ave, NYC 10128.
All contributions are tax-deductible.