Citizens United in Forest Park

Membership Application

Please Complete and Send to: CUinFP, PO Box 233, Forest Park, IL 60130

_____ Individual - $15.00/Yr. _____ Family - $25.00/yr. _____ Non-Resident - $25.00/Yr.

_____ Corporation, Business, Non-Resident Property Owner - $25.00/Yr.

Make Checks Payable to: Citizens United in Forest Park

Cell __________________________ E-MAIL __________________________________

Are you an elected or appointed village official? ________ Yes _______ No

I prefer to receive communication via: _______ e-mail _______ U.S. mail

I am interested in assisting with:

_______ Membership                                                       _______ Speakers

_______ Fundraisers                                                        _______ Rummage Sale

_______ Voter Registration                                             _______ Group Representation

_______ Voter Registration Training                              _______ Event Planning

_______ Additional monetary or in-kind contribution (please state type) _____________

Detach here and keep for your records

Thank you for supporting Citizens United in Forest Park

NAME(S) ______________________________________________________________

ADDRESS _____________________________________________________________

CITY_________________________ STATE ______________ ZIP CODE ________

TYPE OF MEMBERSHIP ___________________________ DATE ______________

CUinFP is an Illinois Not for Profit Corporation. Visit us at: cuinfp.org