Membership
is open to individuals, civic organizations and homeowners’
associations.
Please select from the following:
___ I am enclosing $10 cash ( )
check ( ) for my annual household membership
___ I am enclosing $15 cash ( )
check ( ) for the following organization membership
_________________
(Please make check payable
to: “Greater Shady Grove Civic Alliance”)
Mail to:
Pat Labuda,
GSGCA,
16929 Briardale Road
Derwood, MD 20855
Name: _______________________________________________________
Address: _______________________________________________________
Phone:
___________________ E-Mail:
___________________________
Local Issues of Concern to You: ___________________________________________________