SANDY SPRINGS CIVIC ROUNDTABLE
1999 MEMBERSHIP APPLICATION

This is page 1 of a two-page membership application.  Click here to go to page 2.

 Updated 2/13/99 Back to Sandy Springs Civic Roundtable Home Page - Mission
 

THE SANDY SPRINGS CIVIC ROUNDTABLE MEMBERSHIP APPLICATION - 1999
Return Membership Application with your $20 check payable to the Sandy Springs Civic Roundtable.
Mailing Address: P. O. Box 76786 Sandy Springs, GA 30358-1786
Name of Organization  

 
Your Name:  

Title:  

Mailing Address: 

 Bus. Tel.:  

Home Tel.:  

Fax:  

E-mail: 

Circle preferred number for phone messages.

Alternate contact (President or Chairman preferred if different from above)  
Name:  

Title: 

Mailing Address: 

 
Bus. Tel: 

Home Tel.: 

Fax: 

E-mail:

Organization headquarters, if different from above:  

Address:  

What is your web site address?

http://www.
Tel.:  

Fax:  

E-mail:

When are you available to attend Civic Roundtable meetings?  

    Mornings OK          Noontime OK        Evenings OK

Would you like to receive information on community issues via electronic communications? If so, be sure to provide an E-mail address for yourself or an alternate contact within your organization.   

    Yes        No

The Civic Roundtable needs volunteers for committees and projects. Let us know how you can help.  

    ____ Program Planning & Meeting Hospitality 
    ____ Membership/Communications (Telephone network) 
    ____ Administrative (Help with database, meeting notices) 
    ____ Board