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.