MEMBERSHIP APPLICATION |

ROCA MEMBERSHIP APPLICATION

Please complete the following form for direct online membership application to the Royal Oak Community Alliance, Inc., Titusville Community.

After you submit the form, use the ROCA DUES tab on the main menu to pay online using PayPal. Or you can send your ROCA Dues by check to ROCA, P.O. Box 2236, Titusville, FL 32781-2236. Thanks for your support to ROCA!

ROCA Membership Application

This is the application for membership to the Royal Oak Community Alliance, Inc.

Full Name (First, Last) *

Please provide your first and last name for our database

Address *

Local Address in the Royal Oak Area

Email Address *

Telephone Number *

Please add your telephone number in the format: xxx-yyy-zzzz

Radio Buttons *

Individual Membership ($25)

Affiliate Organization Membership ($125)

Please choose either an individual membership for household, or an affiliate membership if you are the representative for one of the HOAs or COAs in Royal Oak

Comments: Please add any specific information about yourself, etc. Thanks.

PLEASE DO NOT FORGET TO SUBMIT YOUR DUES USING THE DUES TAB ON THIS SITE. YOU MAY ALSO MAIL YOUR CHECK TO ROCA, P. O. BOX 2236, TITUSVILLE, FL 32781.

Your Interest - the areas you are most interested in, would volunteer to assist with, etc.

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