YES, I want to add my voice to
the Captiva Island Property Owners Association.
Count me in as a member.

Name _____________________________________

Mailing address __________________________

City _______________________________

State _____ Zip ____________

Captiva property address ____________________________

Captiva mailing address _____________________________
(IF APPLICABLE)

Captiva telephone __________________________

Other telephone ____________________________

Fax ________________________________________

E-mail address ____________________________

Check all that apply:
___ Captiva resident
___ Captiva registered voter
___ Captiva business owner
___ Captiva property owner
___ Captiva timeshare owner

Annual dues:
Individual memberships are $50, but we encourage those who can to contribute more than that to aid the CPOA in its efforts to craft a community master plan for the island and to keep Captivans informed of island-wide issues and events.

Contributions and membership dues paid to the CPOA are not tax deductible on federal income returns.
Make checks payable to the Captiva Island Property Owners Association Inc.

MAIL TO: CPOA, P.O. Box 72, Captiva, FL 33924