Membership Form

Support Your Community--Pay Your Dues and/or Donate
to Your All-Volunteer Community Organization

Please consider making a monetary donation to support 2021 Gum Springs Community Day

2020-2021 Membership: October 1, 2020 to September 30, 2021

NGSCA Membership On-line Form

Note: Members of the Civic Association voted during September 8, 2020 meeting to increase yearly dues per person from $5.00 to $10.00 beginning with the October 1, 2020 to September 30, 2021 membership year.

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Dues/Donation *

Annual - $10.00 pp (18 years and older) Donation Support for 2021 Gum Springs Community Day Donation (Dues plus any amount) Home or Property Owners Association within Gum Springs boundaries ($200 regardless of number of homes)

NOTE: Home/Property Owners Associations (H/POA) within the boundaries of Gum Springs cannot vote on any matter in ANY organization that affects the Gum Springs community The H/POA can only vote on matters within their covenants which do not extend outside their property lots. The official voice for any matter affecting Gum Springs is NGSCA.

Email *

Total Amount *

Re-type Email *

Optional 2nd Email *

Certification of Dues/Donation Submitted *

Certified that the electronic submission of my membership that I have also submitted payment via PayPal donation button. If payment is not received via PayPal prior to voting on any issue, my voting privilege is suspended until payment has been received and processed. Certified that the electronic submission of my membership form that I have also submitted payment via U.S. Postal Service to arrive prior to voting on any issue. If payment via U.S. Postal Service is not received prior to voting on any issue, my voting privilege is suspended until payment has been received and processed.

Checks should be made payable to NGSCA and mailed to PO Box 6112, Alexandria,, VA 22306.

Submit

Click on the membership form to the right to download, complete and mail if you prefer "paper."

civic_association_membership_form-1.docx
File Size:	101 kb
File Type:	docx

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2020-2021 Membership: October 1, 2020 to September 30, 2021​NGSCA Membership On-line Form

2020-2021 Membership: October 1, 2020 to September 30, 2021

NGSCA Membership On-line Form