FITLER SQUARE IMPROVEMENT ASSOCIATION

MEMBERS INFORMATION

NAME:___________________________________________________________________

ADDRESS: ______________________________________________________________

PHONE: _________________________________________________________________

EMAIL: ____________________________________________________________
(help us stay in touch with you - our email notices keep you informed of events and campaigns)

Help us help your park!

______ I WANT TO HELP WITH UPCOMING EVENTS (SPRING FAIR, ETC)

_______ I WANT TO HELP WITH MAINTENANCE (PLANTING, TRIMMING, ETC)

WHAT I MOST ENJOY ABOUT THE SQUARE IS:

__________________________________________________________________

WHAT WOULD MAKE THE SQUARE MORE ENJOYABLE TO ME IS:

__________________________________________________________________

ANNUAL DUES (valid May 1 thru April 30)

INDIVIDUAL ************************** $35_________
FAMILY ****************************** $50_________
TURTLE **************************** $100 to $200________
RAM ******************************* $201 to $300________
BEAR ****************************** $300 or more________

Business contributors of $100 or more will be featured on the fitler Square website

PLEASE PRINT THIS FORM AND SEND IT WITH YOUR CHECK TO:

The official registration and financial information of The Fitler Square Improvement Association may be obtained from the Pennsylvania Department of State by calling toll-free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.

Visit our wesite at www.fitlersquare.org

Looking for more information about the Fitler Square Improvement Association?
Email FSIA here!