MARCO
ISLAND CIVIC ASSOCIATION, INC.
1770 San Marco Road
Marco Island, FL 34145
Telephone 239-642-7778; Fax
239-642-8663
I
want to be a supporting member of the Marco Island Civic Association.
Enclosed
is my check for $35.00 for a one-year membership. (MICA’s fiscal year is September 1 to August 31)
NAME:__________________________________________________________
MAILING ADDRESS WHERE MAIL WILL REACH YOU YEAR ROUND:
_________________________________________________________________
_________________________________________________________________
MARCO ISLAND
ADDRESS:_______________________________________
TELEPHONE
NUMBER:___________________________________________
PLEASE HELP US IDENTIFY OUR
MEMBERSHIP
MY MARCO ADDRESS IS A: MULTI-FAMILY
UNIT or CONDO q
SINGLE FAMILY HOME q
UNIMPROVED LOT q
OTHER q (please
specify)_________________
I/WE: OWN q
RENT q OUR MARCO ISLAND HOME
Please return to: Marco Island Civic Association
1770 San Marco Road #204
Marco Island, FL 34145
Thank you for taking the time to complete this form.