Inter-Community Civic Association Inc.
108-05 Liberty Avenue
Richmond Hill, NY 11419

Civic Call Center: 718-848-0698 (24hr. msg.)
Membership Application
Date
Name
Address
Cell
Telephone
Work
Home
Fax
Email
Occupation
Employer/Business
How Referred?
Can we help you? Explain
Comment/Question?
Your application will be reviewed by committee. Membership fee applicable
Preferred way to reach you is by cell phone and email. Easy and cost-effective
The civic apparatus is provided by volunteers during the beginning period.
Membership fee is $5.00 per month, $60.00 Per Year
United We Stand. Divided We Fall.