Current dues are $25 per household.  New Members are free for the first year.   Membership terms run yearly from July 1^st.   Please send a check made out to the Hyannis Park Civic Association to:

Hyannis Park Civic Association

P.O. Box 561

West Yarmouth, MA 02673

Additional contributions are welcome. If you would like to make a donation in memory of someone, please enter the amount and further details. Dues and donations are not tax deductible.

Amount $______________ In memory of_______________________________________________

Acknowledgement will be sent to:____________________________________________________

MEMBER INFORMATION:

LAST NAME_______________________________________ FIRST NAME___________________________

CAPE STREET ADDRESS___________________________________________________________________

OFF CAPE STREET ADDRESS_______________________________________________________________

OFF CAPE TOWN________________________________________STATE_____ZIP____________________ EMAIL ADDRESS__________________________________________________________________________
CAPE PHONE _________________________________OFF CAPE PHONE___________________________

PREFERRED MAILING ADDRESS (Please circle one)                     CAPE                OFF-CAPE

REGISTERED YARMOUTH VOTER? (Please circle one.)          YES                  NO
EMERGENCY CONTACT: NAME_________________________________PHONE___________________

CO-OWNER OR SPOUSE INFORMATION:

LAST NAME_______________________________________FIRST NAME__________________________
OFF CAPE STREET ADDRESS, IF DIFFERENT THAN ABOVE:
OFF CAPE ADDRESS____________________________________________________________________
OFF CAPE TOWN____________________________________STATE____ZIP______________________ EMAIL ADDRESS_______________________________________________________________________ CAPE PHONE_________________________________OFF CAPE PHONE_________________________

REGISTERED YARMOUTH VOTER? (Please circle one.)          YES                  NO

Please mail completed form to:
Attn:  HPCA
P.O. BOX 561
West Yarmouth,  MA  02673
United States of America