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Please Note: The printer friendly membership form is in  Acrobat PDF format. (same as Federal Income Tax forms). If you don't have Acrobat Reader on your computer, simply click above for a Free download.

To become a current member, please print this form on your computer, fill it in, and get it to us in a manner indicated at the bottom of this page.  --Thank you.

Civic Association of Port Tampa City
Year 2004-2005 Membership Application:

Name____________________________________________________________________

Organization or
Company Name 
(if applicable)_______________________________________________________________

Mailing
Address___________________________________________________________________


__________________________________________________________________________

Daytime Phone __________________________

Evening Phone ___________________________

Fax Number _____________________________

Email address ____________________________

Please attach your check in the amount of $12.00.

Please print and give this form with your check to one of your 
Civic Association of Port Tampa City Board Members or Officers (click)
or mail to:

Civic Assn. of Port Tampa City
P. O. Box 19411
Port Tampa City, FL 33686-9411