CIA Annual Membership Form

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Please complete this form for your annual membership, or mail the paper form from the membership packet delivered (near the end of each calendar year) affixed to the outside of your mailbox.

Email *

Name (John and Jane Smith) *

Email (please enter primary email addresses that you'd like CIA news delivered) *

Second Email (please enter second email addresses that you'd like CIA news delivered)

Address (please enter house number and street address only - for example, 123 Main Street) *

Phone number (please enter primary phone number) *

Secondary Phone number (please enter a secondary number)

How have you paid your membership dues this calendar year? *

By PayPal

By Check

Would you like to be included in a community directory? *

Yes please include my name, address, and phone number in the CIA directory

I prefer not to have my name, address, and phone number in the CIA directory

The CIA is always looking for volunteers. Please check off all volunteer opportunities that interest you.

Pier Maintenance (replace boards, fix nail pop-outs, pressure wash deck, etc.)

Hospitality (welcome package for new residents)

Halloween Party (plan and run event)

Traffic Safety (help chairs work with community and county to implement safety countermeasures)

Wellness (group walks/runs/kayak/SUP, etc)

Special Community Benefit District

Education (with an eye on AACPS redistricting)

Would you like to be considered in the future for a CIA Board, Officer, or Committee Chair position? If yes, please let us know what interests you.

Anything else? Please feel free to share anything else you'd like regarding the Cypress Improvement Association.

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