CPN Membership Form

Cedar Park Neighbors Online Membership Form

All fields marked with a * are required:

Your first name*
Your last name*
Your email*
Your phone number*
Your street address*
City*
State*
Zip code*
Are you a new member to Cedar Park Neighbors or is this a renewal?*	New Membership Renewal
Do you want to recive paper copies of the newsletter?*	I would prefer to recieve an email with a link to the current newsletter online and *no paper copy at my home* I prefer a paper copy delivered to my house
Membership Type*	$10 Individual $15 Household (2 persons or more) $7 Senior/Student/Unemployed $30 Business $40 Sponsor
Membership Dues*	$
Would you like to donate additionally to specific CPN activities?	Holiday baskets for needy familys in the neighborhood CPN scholarships for neighborhood kids Summer jazz series in Cedar Park Other
If you selected "Other", what CPN activity would you like to donate to?
Donation Amount	$
Total Contribution* (Membership Dues + Donaiton Amount)	$
What specific Cedar Park Neighbors activities are you interested in getting involved with?	Block Organizing: Maintain list of Block Leaders, organize forums, etc. Block Improvement Grants Committee: Review applications, help implement streetscape improvements Board of Directors: CPN leadership and decision-making body Cedar Park Fair: Publicity, children's activities, coordinating vendors, entertainment, etc. Clean-up Committee: Promote Block Clean-up Day participation, Tire Round-up Education Committee: Support local schools and educational issues for local parents Fundraising: Special events, grant writing Holiday Baskets: Coordinate and distribute food baskets to needy Cedar Park families Hospitality: Provide refreshments for community meetings and special events Membership Committee: Promote membership to residents and businesses Newsletter: Writing, publishing, photography, distribution Property/Housing Task Force: Strategize/respond to issues of deteriorated and abandonned property Scholarship Committee: Raise funds, promote program, and select awardees Website: Technical support, maintenance, update info/pictures, etc. Zoning Committee: Monitor & communicate issues to residents, appear before Zoning Board of Adjustment, coordinate meetings
Please include any miscelleaneous notes here.