FITLER SQUARE IMPROVEMENT ASSOCIATION
MEMBERS INFORMATION

NAME:___________________________________________________________________

ADDRESS: ______________________________________________________________

PHONE: _________________________________________________________________

EMAIIL: ____________________________________________________________
(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:__________________________________________________________________

The Fitler Square Improvement Association is a 501-c3 non-profit organization.
All membership fees and donations, including those made in-kind, are tax-deductible.

ANNUAL DUES (valid May 1 thru April 30)
INDIVIDUAL*************************** $20_________
FAMILY******************************** $25_________
BUSINESS***************************** $50_________
PATRON*******************************$100________
BENEFACTOR************************$500________

(Business members contributing at the BUSINESS level or above
are featured on the Fitler Square website)

PLEASE PRINT THIS FORM AND SEND IT WITH YOUR CHECK TO:
FITLER SQUARE IMPROVEMENT ASSOCIATION, INC.
400 SOUTH CROSKEY STREET
PHILADELPHIA, PA 19146
www.fitlersquare.org