Join Us Membership Membership If you prefer to submit by mail, please click here to print a copy of this form.You may send the completed form with your payment to payments@centralcityalliance.org, or send bymail to:Central City Alliance C/O Barry Curtis1525 NE 5th AvenueFort Lauderdale,FL 33304Make checks out to Central City Alliance You may also pay with Zelle: Open the banking app on your phone and use Zelle to send your payment to info@centralcityalliance.org Name * First Last * Last Neighborhood Lake Ridge Middle River Terrace Poinsettia Heights South Middle River Select Membership Price * 25 Personal 50 Business 100 Neighborhood Association select 25 for personal membership, 50 for a business, 100 for an association Organization or Company Name Phone * Email * Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Please rank your priorities Beautification 1 2 3 4 5 6 7 8 9 10 City Relationships 1 2 3 4 5 6 7 8 9 10 Communication 1 2 3 4 5 6 7 8 9 10 Crime and Code 1 2 3 4 5 6 7 8 9 10 Events 1 2 3 4 5 6 7 8 9 10 Rezoning and Development 1 2 3 4 5 6 7 8 9 10 Traffic Calming 1 2 3 4 5 6 7 8 9 10 Other (tell us in Comments) 1 2 3 4 5 6 7 8 9 10 Comments Visual Code Payment * Check Zelle Please send your check to:Central City Alliance C/O Barry Curtis1525 NE 5th AvenueFort Lauderdale,FL 33304Make checks out to Central City Alliance Please open the banking app on your phone and use Zelle to send your payment to info@centralcityalliance.org. Submit If you are human, leave this field blank.
