Membership Form

Please print and complete this form.

Bring it with your dues ($10) to the next meeting or remit to the treasurer:

Hal Ferguson
2400 Comburg Castleway
Austin TX 78748

After July 1st, dues for new members are $5

Please, NO CASH and do not place unstamped envelopes in the US Mailbox.
Hal will have a box on his front porch.

COVNA MEMBERSHIP APPLICATION / RENEWAL FORM

NAME(S) _______________________________________________________________

________________________________________________________________________

ADDRESS ____________________________________________________________

TELEPHONE ___________________ E-Mail ________________________________

___ Check here if you DO NOT want information listed in neighborhood directory.
___ Check here if you DO NOT want Email listed in neighborhood directory.
___ Check here if you wish to be added to the COVNA Email Group

 


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