montgomery county civic federation, inc.

MCCF ONLINE MEMBERSHIP APPLICATION/RENEWAL

This form is to apply to join or to renew your membership in the Montgomery County Civic Federation, Inc.

JULY 1, 2019, through JUNE 30, 2020

Address any questions to MCCF Treasurer Jerry Garson:  Garson AT comcast DOT net; 301.765.9470.

To send in your payment instead, click here for a form to mail in.


MCCF

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MCCF MEMBERSHIP APPLICATION/RENEWAL (Part 2)

Your payment has been posted.  Please fill out this form to complete your application.

This is a (check one):  New Application Renewal

Choose Membership Type

LOCAL ASSOCIATION
       ■ Civic, Community, or Homeowner Association, or Municipality
       ■ Cannot Be a Single Local Issue Group
       ■ Voting Privileges

           Check Number of Households:
               10–50  [Dues $20, 1 Delegate]
               51–300  [Dues $35, Up to 2 Delegates]
               301–600  [Dues $50, Up to 3 Delegates]
               601+  [Dues $65, Up to 4 Delegates]
UMBRELLA ASSOCIATION
       ■ Two or More Local Associations
       ■ Cannot Be a Single Local Issue Group
       ■ Voting Privileges

           Check Number of Households:
               60–500  [Dues $35, Up to 2 Delegates]
               501–1,000  [Dues $50, Up to 3 Delegates]
               1,001+  [Dues $65, Up to 4 Delegates]
REGIONAL OR COUNTYWIDE ORGANIZATION
       ■ Environmental, Transportation, or Other Civic/Community Organization
       ■ Voting Privileges

           Check Number of Households:
               50+ Memberships, Not Households  [Dues $35, Up to 2 Delegates]
INDIVIDUAL ASSOCIATE
       ■ No Voting Privileges
           Check if Applicable:
               Self  [Dues $15, 1 Delegate (Yourself)]
ASSOCIATE GROUP
       ■ Government Agency, Business, or Other Organization
       ■ No Voting Privileges
           Check if Applicable:
               Group  [Dues $75, Up to 2 Delegates]

Representative #1




Representative #2




Representative #3




Representative #4




Comment to MCCF (Optional):


FOR YOUR INFORMATION The “Civic Federation News,” the newsletter of the Montgomery County Civic Federation, Inc., is now digital; email is the only way to receive it.  Organizations can also select less than the allowed number of delegates and pay according to that number.