HPKCC membership form

HPKCC Membership Form

All members receive a copy of the Conference Reporter

Membership Level:

Individual $20 Family $30 Senior/Student $15 Nonprofit [501(c)(3)] $75 Business/Friend $100 Supporter $200

Your Name
Address
Telephone
Email (required)

I am interested in working in the following programs/activities:

Chicago Academic Games League	Condos/Coops	Development, Preservation, Zoning
Friends of Blackstone Library	Garden Fair	Nichols Park Advisory Council
Parks / Environment	Schools	Transit Task Force
Membership/Fund-raising	hydepark.org/website and publications	Whistlestop/Safety
Hyde Park Used Book Sale	Southside Preservation Action Fund

A community issue that particularly concerns me is

I live in a
Condo
Co-op
Homeowner's Association.

The Association's name, president/pres. addr.:

Other comments or suggestions:

Payment:

(Coming Soon!) I wish to pay with a credit card. (Please have your credit card information ready when you click the "submit" button)

I will mail in my check.

Please print this form and send it along with your check to: Hyde Park-Kenwood Community Conference at 1525 East 53rd St., Suite 907, Chicago, IL 60615. Thank you.