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  –  JUNE 30, 2020

PLEASE NOTE:  After filling in your contact information, you will be directed to PART 2 of the application for payment.  If you do not see this, go directly to this page HERE.

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

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


MCCF

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MCCF MEMBERSHIP APPLICATION/RENEWAL (Part 1)

Please fill out this form to renew or apply for membership in the MCCF.
NOTE:  Organizations can select fewer than their allowed number of delegates and pay dues according to that number of representatives.

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 (although it also appears online).