ANNUAL MEMBERSHIP APPLICATION /
RENEWAL
NAME:__________________________________________________________________________________________________________________________________________________________
ADDRESS:______________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________________________
HOME PHONE:__________________________________________________________________________________________________________________________________________________
May we post your number in
our association directory?_____________________________________________________________________________________________________________
EMAIL:___________________________________________________________________________________________________________________________________________________________
O
Family (one year) $10.00 O Family (two
year)$15.00 O Senior: $5.00
O
Business $20.00
At this time please consider
making a donation to our Homestead Landing Civic Association Scholarship Fund:__________________________________________________
|
Want to join a committee? (sure
you do) |
||
|
O Beautification |
O Newsletter |
O Hospitality |
|
O Community Development |
O Parks/open space/waterfront |
|
|
O Fundraising |
O Public Safety |
|
|
O Greenbush |
O Scholarship |
|
|
O Membership |
O Small Business / District
Relations |
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To join the HLCA, print out this form and send it,
along with check or money order, to:
Homestead Landing Civic Association / PO Box 449 / Weymouth, MA. 02188 / Attn:
Membership
PLEASE MAKE CHECKS PAYABLE TO: