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MNCA BOARD MEMBERS: PRESIDENT ALEX HAHN / VICE PRESIDENT CHRIS MOORE / PRESIDENT-ELECT WOJTEK WILCZYNSKI

SECRETARY MARY FRIEDMAN / TREASURER KERRY FOWLER / WATCH COMMITTEE CHAIR KATHLEEN DEMPSEY

2019 MNCA DUES FORM

To submit your annual dues, please print and fill out this form. 

Send it to the MNCA Treasurer with a check made payable to MNCA.

If you have any questions concerning dues, please email the treasurer at mncatreasurer@gmail.com.

Name(s):              _______________________

Street Address:    _______________________

Phone Number:    _______________________

Email:                   _______________________

Can email address be printed             Yes     No

in directory?

Participate in Neighborhood Watch?   Yes    No

 

***************************************************************

 

Dues of $10 per calendar year                           __$10__

Optional Donation Towards MNCA Activities     _______

Total Amount Enclosed                                      _______

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