Membership Form

Membership Form

Please use this form to apply for membership in Network 49. Membership is $30 per 12 month period per person. Membership is open to any person who is a resident of the 49th Ward of Chicago.

Once you have submitted this form, you will need to submit a payment of $30 for dues. Pay by check to Network 49, c/o Thom Clark, 1927 W Farwell Ave., Chicago, Il 60626.

You may also pay online - click here or on the Square icon at the top of the page.