Membership Application

Instructions

The Valley Cottage Civic Association is committed to developing the community for the betterment of all our residents and businesses. Sign on to our mailing list by joining the Association. Yearly membership dues are $20.00 per family. Please join with us and your neighbors to create a community voice for Valley Cottage.

Please fill out the form below, and click the SUBMIT button at the bottom of the screen to send us your request. Payment can be submitted to:

Valley Cottage Civic Association, Inc.
PO Box 85
Valley Cottage NY 10989

Personal information provided by you to the Association will be kept completely private and never shared with any outside entity.

Your Name:	*
Address: *
Phone:	*
Fax:
E-mail:	*
Comments:

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