Membership

Please use this form to purchase a Yorktown Civic Association membership and pay annual dues.

Name of Member(Required)

First Last

Email(Required)

Phone(Required)

$20 Annual Membership(Required)

One Year Membership

Annual Membership with Auto Renewal

Payment Method

Address in the Civic Association(Required)

Street Address Apartment or Suite Number City State ZIP Code

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Fill out our Membership Form (PDF).
Write a check to the Yorktown Civic Association for $20 for an annual membership.
Mail form and check to our treasurer:

Dustin Anderson
YCA Treasurer
5104 23rd Road N.
Arlington, VA 22207