ready to join ccn?

membership form

Membership Selection

Neighborhood Name

Neighborhood Zip Code

Neighborhood Email

Please list the general contact email for your neighborhood.

Neighborhood Website

Please list your neighborhood's website. If you don't have one, please list your neighborhood's main social media page.

Does your neighborhood have an EIN# (required to receive city and CCN grants)? If you need assistance acquiring an EIN, please contact a member of the CCN Executive Committee.

EIN Number

If no EIN, please write "n/a."

What portion of your neighborhood lies within the City of Columbia limits?

All

Most

Less than half

List your neighborhood president's name, phone number and email.

List your neighborhood vice president's name, phone number and email.

List your neighborhood secretary's name, phone number and email.

List your neighborhood treasurer's name, phone number and email.

When do you elect officers?

Form Submitted By:

Date Submitted:

JOIN BY PDF

If you'd prefer not to fill out the online form above, you can also download the PDF below. Bring your completed form to a membership meeting, and submit it to a board member.