JupiterFarmResidents

Serving and Protecting Our Rural Lifestyle

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  • CHECK IT OUT

    The SCHOLARSHIP APPLICATION is located at:
    the SCHOLARSHIP APPLICATION FORM page.

    GOING AWAY and would like the Citizen Observer Patrol to keep tabs on your house while you are gone? Go to:
    the COP HOUSE CHECK APPLICATION page and down load the form. Follow the directions on the form.

JFR Application

JUPITER FARMS RESIDENTS MEMBERSHIP FORM

 

Jupiter Farms Residents, Inc. is a Civic Organization for those residing in the Jupiter Farms area. Membership is open to residents of this area by completing the membership form below.

 

All information supplied on this form remains confidential and will only be given to people within the organization. Dues are not mandatory, but contributions are always appreciated. JFR, in addition to the programs above, is committed to providing a substantial portion of the gas money to keep our COP (Citizens Observer Patrol) vehicles on the road.

Date ____________________

Your Name ____________________

Spouse’s Name ________________

Mailing Address:

_______________________________________

 

 

 

 

_______________________________________
_______________________________________
 
Residence Address if different
 
_______________________________________
_______________________________________
_______________________________________

Email address __________________________

 
Phone _________________________________

Interests ______________________________

 
Children’s Ages __________________________

Pets and Animals (Kind and how many) ___________________________


Contribution Enclosed $___________________ JFR Rec’d ___________
Date – Initials – Recorded