Join Us - Family Membership

Upcoming Meeting Schedule

Usually at the Patrick Henry Elementary School Library at 7 PM, check the newsletter for details

Please join
Arlington Heights Civic Association

Family or individual membership is $20.00 per year. However, if you join for 2008 before January 1st, 2008, you can still join at the 2007 rate of $12.00 per year.
Business membership is $25.00 per year

Members may also advertise in our quarterly newsletter, OVER THE FENCE

Please fill out this form and send it to

AHCA
c/o Jason Torchinsky, Treasurer
3109 S 7th St
Arlington VA 22204

Family or Business Name ___________________________________________________________

Family Member Name _____________________________________________________________

Children's Names _________________________________________________________________

Home Address ___________________________________________________________________ Arlington, VA 22204

Work Phone _____________________________  Home Phone _____________________________  (optional)

E-mail address ____________________________________________________________________
(Add me to AHCA's e-mail list, AHCA@YAHOOGROUPS.COM)

Memberships are paid on a calendar-year basis

[_] Attached is a check for $12.00 for 2007 family membership in AHCA (good before Jan. 1 2008)

[_] Attached is a check for $12.00 for 2008 family membership in AHCA (good before Jan. 1, 2008)

[_] Attached is a check for $20.00 for one year's family membership in AHCA (good after Dec. 31 2007)

[_] Attached is a check for $25.00 for one year's business membership in AHCA

[_] Attached is an additional donation of  [$______________ ] (donations are not tax-deductible at this time)

[_] Attached is a check for $_____ for four advertising insertions in Over the Fence, our quarterly newsletter
      Please attach your camera-ready advertising copy.   (View our ad rates)

Optional:  I would like to be involved with / help out with:

[_] Becoming an officer or serving on a committee

[_] Distributing the newsletter or other announcements

[_] Contributing articles for the newsletter (subjects of interest: _________________)

[_] Events organizer (social events, kids programs, etc.) ______________________

[_] Other _________________________________________________________

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