La Cañada Flintridge Coordinating Council

ORGANIZATION INFORMATION FORM

P.O. Box 264, La Cañada, CA 91012-0264

 

The information on this form will be included in the next printing of our Directory of Community Organizations.  Your submission should reflect the activity period of August 1, 2012 to July 31, 2013.

 

If you are renewing your membership, please use this form or copy the entry in last year's directory and red-line the changes for this year.  Use the space provided below for the listing of your major events.

 

We thank you for filling out this form.   Please send dues of $15 in a check payable to LCF Coordinating Council by Monday, July 23, 2012.



ORGANIZATION INFORMATION FORM

Name of Organization:
Mailing Address:               City      State     Zip  

Phone:         Fax:       E-mail:

 Webpage: 

 

 Contact Person: Name:     Title:

 Address:        City  CA   Zip    

 Phone:     E-mail:  

 Regular Meeting Date and Time:

 Regular Meeting Location:         

 

 Services: (Briefly list the services your Organization provides)

 

 

Main Events

                        Name of Event                         Date                  Duration                         Location

                                                                                

    

Questions? Contact Nick Berkuta, LCFCC Membership Chairman at 818.790.3034 or email: nberkuta@aol.com

We reserve the right to edit information