MEMBERSHIP FORM

Name.

Street Address

Apt #.

Arlington, VA 22204.

Home phone

E-mail

I would like to volunteer for

Year dues are  $10 (dues year runs from March to February).  Additional donations are most welcome!

Mail check payable to DPCA with this form to:

Treasurer, DPCA

3621 S. 14th St.

Arlington, VA 22204

Douglas Park

Civic Association                                                Arlington, Virginia 22204

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the 4th of July picnic

Holiday Fund Drive

Election Day Bake Sale

Call me any time and I'll see if I can help