Membership Application

 I am a resident/business owner of Garden Grove, California and want to become a member of the Central Garden Grove Neighborhood Association.

I understand dues are $12.00 per year per person and are renewed each year in July. 

I understand my personal information, given below, is for internal use by the Association and will not be sold or shared. 

1st Member Name ____________________________________________________

2nd Member Name (optional) ____________________________________________________

Street Address    ____________________________________________


Zip Code                _____________________________________


Phone Number     ____________________________________


E-mail Address    _____________________________________

Amount enclosed
Number of Memberships:          1 = $12.00         2 = $24.00

 Donations are also accepted (and appreciated!) $ _____________

Your receipt will be mailed back to you.    Questions, call 714-539-0791 Toby Rubin
                                                        Thanks for joining!