Join the Chic’s Beach Civic League

Type of Membership*
Membership dues are paid annually and expire on December 31.
Address*
Street Address City State Zip
Member Name*
First Last
Email*
Phone
Member Name (Second Adult)*
Please provide the name of the second adult member in your household
First Last
Email (Second Adult)*
Our civic league aims to keep membership dues low so all may be able to join. Would you like to make a donation to support events and programs?
- YES
Donation Amount
TOTAL AMOUNT TO PAY
How would you like to pay?
- CHECK OR MONEY ORDER
- CREDIT CARD
If paying by CHECK, please send money to:
(this address will be included in the email you will receive)

Chesapeake Beach Civic League
P.O. Box 5118
Virginia Beach, VA 23471
Secure Credit Card Payment

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
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