Lake Ronkonkoma Civic Organization
Announcements
Membership
About Our Civic
Subscribe
Announcements
Membership
About Our Civic
Subscribe
As a Senior over the age of 75, your membership is free, so all we need is some basic information so we know where to send the newsletter. Just fill out the form below, and thanks for choosing to be a member.
Subject:
*
New Member
Your Full Name:
*
Street Address (e.g. 123 Main St)
*
Town (e.g. Ronkonkoma)
*
Zip Code (e.g. 11779)
*
Telephone Number (e.g. 631-555-1212)
Email Address (e.g. me@yahoo.com):
*
Membership Class:
*
Resident Senior over age 75
Questions or Comments:
*
To send your email check this box, then select the "Submit" button below:
*
Spam Protection: Please don't fill this in:
