The Scottsmoor Community Association Membership Application
Please print!
Date:___________ Name:____________________________
Please check Appropriate: ___ Land Owner ___Resident Street Address:__________________________________
Mailing Address:______________________________ City & Zip:____________________________ Phone#:_______________
E-Mail:__________________________________
Activities you would like to see offered at the Scottsmoor Meeting Hall (for a small fee) ___________________________________
Activity YOU are qualified and willing to teach or lead: ___________________________________
Local Concerns:___________________________________ ____________________________________
____________________________________ ____________________________________ ____________________________________
Dues are $10.00 per adult family member and are due annually In January.
For office use only – PAID yes no
Mail this application to: Scottsmoor Community Association P.O. Box 657 Scottsmoor, FL 32775
Please be aware that we will charge a for any returned checks based on our bank's returned check fee.
Want to advertise on our website at www.Scottsmoor.org ?
Members pay only $15 to have an ad on our website for one whole year!