RETURN TO THE HOME PAGE
				U.N.I.T.E. Civic Association Membership Application
			Name:__________________________________________________________ Address:________________________________________________________ Phone:__________________________ Email: _________________________ O I would like to volunteer on a UNITE committee. Demographic Information Please help us learn more about our memebers by completing this information: Residence Type:  Single Family Home______     Condo______  Apt.______ What type of programs would you like U.N.I.T.E. to focus on? What concerns do you have about our neighborhood? What types of businesses would you welcome to our neighborhood?
		Print this page out and mail with $10 per household (Seniors get special rate of two years of membership for $10!) or $20 per business to: U.N.I.T.E., 4317 N. Troy St., Chicago, IL 60618
	Thanks for becoming a United Neighbor In Team Effort.