Help support the Beautification Society! Please Print and mail in this form

Yes! I want to be part of this community effort!

  Name:___________________________________________________

  Address:_________________________________________________

              ___________________________________________________

  Telephone:__________________  Email Address:________________

  Annual Individual Membership is $10.00

  Amount Enclosed _________

  Mail To: Mayor's Beautification Society of Lindenhurst

              430 South Wellwood Avenue.

              Lindenhurst, NY 11757

www.VillageofLindenhurst.com