Allegheny West Membership Application
Please provide the following information if you would like to join the Allegheny West Civic Council.

Type Membership You are Applying For [see above for descriptions] *
Your Name *
Your Business Name if Applicable
Your Address [in Allegheny West] *
Mailing Address [if different than above]
Email [required if you would like to be sent an invoice to be able to pay electronically]
Term *
Payment [You are not eligible to vote until 30 days after your payment is received] *
Are you interested in assisting with any committees? More information about getting involved:
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