Join the Chic’s Beach Civic League

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Click and Print:

2018 CBCL Membership Form

Send to:

Chesapeake Beach Civic League
P.O. Box 5118
Virginia Beach, VA 23471

Name*
First Last
Address*
Street Address City State Zip
Email*
Mobile Phone
Home Phone
Type of Membership*
These are Yearly Fees
Additional Household Name
Please enter the other adult member in your household
First Last
Mobile Phone of Additional Adult
Enter the Mobile Phone of the additional adult
Would you like to make an additional donation?
- YES
Donation Amount
Would you like the newsletter mailed to your home for an additional $10 fee?
- YES
Mailing Fee
Price: $10.00
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
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Chic's Beach Civic League © 2010-2019

www.cxbcivicleague.com

P.O. Box 5118
Virginia Beach, VA 23471

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