September 2011 To August 2012 Membership Form  

Please complete this form , click print at bottom of Page and include with your check made payable to: "Scottfield Civic Association" or "SCA". Dues are $25.00 annually, $15.00 for Senior Citizens and SCA Governors.  

  Scottfield Civic Association 

P. O. Box 7500 

Newark, DE 19714 

Name:   

Address:   

Phone:   

Sign Up for our Monthly Email Newsletter and meeting reminder 

Email address (Optional)   

Amount Enclosed(Please check box)  

$25.00 Annual Dues           

$15.00 SeniorCitizens/Governors

  If for some reason you can’t pay your dues or don’t want to please fill this out ,  

with a comment why and mail it to us 

                Click Here to Print Filled Out Page