Membership

Southgate Civic Organization

$25 Membership Registration Form

January to December 2012

First Name::
Last Name::

Street Address::

Email Address::

Phone Number::

Date::

Yes, I would like to help keep Southgate “green”! Please sign me up for sign up for SCO News/Updates via email::

Are you interested in (Adding), (Retaining), or (Deleting) your name from the SCO Membership Directory?

The SCO distributes a Southgate Neighborhood directory periodically. If you chose to be an SCO member, would you like your name and/or address and phone number listed. Please check the box below that applies to you.

Add my name, address and phone number listed above.

Add my name address, but do NOT include my phone number.

Do NOT include any of my information in the directory.

Pay your membership with a credit card or PayPal please use this link: Pay Here

If you prefer to fill out a membership form and submit your payment the old fashioned way submit your membership form and payment using one of the following methods:

Pay with cash, checks payable to Southgate Civic Organization, or PayPal. If you choose to pay with a credit card/ pay pal a small convenience fee of $1.03 will be added to your membership payment.
Mail your check and registration form to Karla Spahn, 2445 Pitchfork Way, Virginia Beach, VA 23456
Drop your check and registration form in SCO mailbox at Park Site #1, Huckleberry Trail.
Visit www.southgatecommunity.org and pay using PayPal. Make sure you fill out the registration form online.
For more information, contact Karla Spahn at 453-6306, or email at kspahn94@yahoo.com

Southgate Community

Civic Organization