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Community
Council “It’s a great placeto
live…” |
Membership
Application Form
As a registered member of the |
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To become a member of the MCC, please fill in the blanks below and return this portion of the application with payment by mail or to an MCC board member. |
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Today’s Date: Membership Year: (all memberships are
calendar year, no prorating) |
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Membership: Each Individual ($20) x _______ (number of
memberships) = $ ________ in household |
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Member Name(s), in
household: |
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Mailing Address: |
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Phone #: ( ) |
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E-Mail Address: ** We take the privacy of e-mail addresses very seriously and will
not share yours with any outside party. ** ** E-mail is used to
distribute our monthly minutes and to contact members as necessary. ** |
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Would you like to
receive our electronic meeting minutes?
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Yes No |
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Would you like to
volunteer on a sub-committee? |
Yes No |
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___ Sewer ____ Crime Prevention ____ Parks ____ Facilities ____ Other: _______________ |
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Member
Signature(s): |
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Payment Received
By (Board Member Signature): |
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Community
Council
“It’s a great place
to live…” |
Detach and Retain for Your Records |
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Today’s Date:
Membership Year: |
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Member Name:
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Amount Paid: $ |
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