Regent Square Civic Association - Businesses & Non‑Profit Organizations

RSCA Membership/Donation Form

Annual membership is $15.00 for an individual, $30.00 for a family or a business.

The membership year runs from January 1st thru December 31st.
Dues received after September 30th will be attributed to the following year.
When you are finished filling out this form, press the big red "Print/Checkout" button and follow the instructions on the next page.

email questions to: contact@regentsquare‑
Donation -or- Membership Type:
Number Of Adults In Household:
Business Name:
Website URL:
Street Address:
Zip Code:
Email Address:
Contact me, I am interested in serving on an RSCA committee and/or Board.
Business District Winter Lighting (Optional):$.00
Additional Donation (Optional):$.00
You may indicate the purpose of your additional donation in the note field below.
Membership Donation:
Winter Light Donation:
Additional Donation:
Total RSCA Donation:
RSCA is a 501 (c)(3) not-for-profit organization. Memberships and donations are tax deductible as determined by the IRS.

RSCA does not sell its membership list.

Thank you for your interest in the Regent Square Civic Association.