The Kemp Mill Civic Association needs your support!  

Join today by sending in your dues.  Dues are $10.00 per household per year.  Please make your check payable to Kemp Mill Civic Association.  

If you are already a member, you may also use this form to renew your membership.  If you are not sure when your membership expires, check online or e-mail the secretary.

Name:     

Address: 

Phone:    

Email:     

Date:       

Please check one:
     Renewal
     New Membership

Comments welcome:

Print this form and mail it to:
Marci Lavine Bloch, Treasurer
Kemp Mill Civic Association
933 Clintwood Drive
Silver Spring, MD 20902

[ Back ]