www.19WCA.org The 19th Ward is one of the most diverse neighborhoods in the country. We want our community association to be representative of everyone in the neighborhood! We encourage people of all racial and ethnic groups to join the association; whether young or aged, homeowner or renter, we need you! BE A GOOD NEIGHBOR, GET INVOLVED! Membership Registration and Contribution Form The 19th Ward Community Association 216 Thurston Road Rochester, NY 14619 (585) 328-6571 19thward@19wca.org Name ____________________________________________ Business/Church(if registering as a business or church) __________________________________________________ Address ___________________________________________ City _______________________ State ______ Zip _________ Email _____________________________________________ Phone ______________________ Registration with the 19WCA includes voting privileges at the Annual Convention held the third Friday in November and the Annual District Meeting if you live within the boundaries of the 19th ward service area. Registration is required at least 60 days prior to any election. Registration in the 19WCA is free but the work that we do is not. Please consider making an annual contribution. Registration includes ten issues of Update 19, delivered via email. Contact the 19WCA office manager if email is inaccessible to you Annual Contribution Levels Your financial support is vital in order for the 19WCA to continue to offer programs and activities that improve and sustain the quality of life in our diverse community. Please indicate your desired annual contribution level. Sponsor Sustaining Contributing Family $250 or More $100 $50 $35 Individual Student/Senior Business/Church Registration Only $15 $8 $35 $0 (must live in the 19th Ward) th Make checks payable to: The 19 Ward Community Association Businesses will receive one free annual advertisement in one edition of Update 19. Please mail or drop off this registration form to the Association Office with your optional contribution check or money order. If considering making your contribution through the United Way, Use United Way Donor Option #1142 “Be part of the Power of 19” THANK YOU FOR YOUR SUPPORT!