"Richness of Life in a Rural Setting"

KCA ~ Celebrating our 62nd year!  1948 ~ 2010

Membership Form

              Name or Contact:                                                      Business Name (if applicable):

                              

               Address:  

              

              

               Phone:                                                             Email Address (to receive QuickNews):

                                          

               Please choose membership type:

                  Family ~ $15.00               Senior Citizen ~ $10.00               Business ~ $25.00

               I can help with:

  Membership              Newsletter             Adopt-A-Road        Fundraising
          Land Use        Fund Raising           Family Fun Day         Ice Cream Social
  Sunset Jazz Fest                Other

Please print this form (from menu bar) and mail along with your check or money order to:

Keystone Civic Association ~ Memberships
P.O. Box 95
Odessa, FL  33556