info@mapleglen.org 215-540-8378 • PO Box 3117 • Maple Glen, PA 19002
MEMBERSHIP APPLICATION

Thank you for your interest in the Maple Glen Community Association.
Please print this page, fill out the membership application and return it with your check to:
Maple Glen Community Association
c/o Debbie Preston, Citizens Bank, 874 Welsh Road, Maple Glen, PA 19002

 Business Name  
Contact Person  
Title  
Address 1  
Address 2  
City  
State  
Zip Code  
Telephone  
Fax Phone  
E-mail  
Web Site  
Dues: Members are assessed dues of $50.00 per calendar year.
Dues are pro-rated quarterly for new members joining after the start of the year as follows:
          • January 1 through March 31 $50.00
          • April 1 through June 30 $35.00
          • July 1 through September 30 $20.00
          • October 1 through December 31 $10.00
Your business information will be included in the MGCA printed directory and web site.
If you do not want certain information published please let us know here:
Please check any areas of interest:
Host a Meeting _____  Do a Presentation _____ Sponsor a Mailing _____
Business Card Exch. _____ Community Outreach _____ Fundraising _____
Programming _____ Raffles _____ Membership _____
Block Party _____ Other ____________________________________