I wish to join the Parrish Civic Association.
Here are my dues for the current year.

(please print)

Name: ___________________________________________________________

Address: __________________________________________________________

__________________________________________________________

Phone No.: ________________________________________________________

Email Address: _____________________________________________________

   (above information is for PCA use only, we do not give out or sell to outside parties)

 

Please check one:   ______ New Member             ______Renewal

Membership Levels

 

______  Basic Membership: $15

______  Booster Membership: $25

______  Sponsor Membership: $50

______  Community Patron Membership: $100.00 or more

______ Corporate Membership: $500.00 or more

 

Amount Enclosed $_________________

 

I wish to volunteer for the following (please check):

_____  Kid’s Christmas Party

_____  Membership

_____  Rural Development Committee

_____ Parrish Heritage Day

_____ Summer Youth Program

_____ Parrish Village News

 

THIS IS YOUR CHANCE TO SUPPORT PARRISH  !

 

MAIL TO:

Parrish Civic Association
P. O. Box 257
Parrish, Florida 34219-0257

Thank you for your support of your community