South River City Citizens Membership Form
South River City Citizens (SRCC) membership form (revised November 2012)
Membership Levels:
___________ Single $20 for 1 year ($35 for 2 years in advance, $50 for 3 years in
advance)
___________ Family $35 for 1 year ($65 for 2 years in advance, $95 for 3 years in
advance)
Additional donation to SRCC General Fund $_______________
Date of dues payment:_________________________________________
Name(s):________________________________________________________________________
Address: _______________________________________________________________________
Telephone:______________________________________________________________________
E-mail: ________________________________________________________________________
Send check made payable to SRCC, along with completed form, to:
SRCC
Attention: Treasurer
P.O. Box 40632
Austin, TX 78704