Please join
Arlington Heights Civic Association
Please fill out this form and mail it to us.
Family or individual membership is $20.00 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
Matthew Ambrose
Arlington Heights Civic Association
PO Box 42923
Arlington, VA 22204or
Matthew Ambrose
218 S Jackson 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
____________________________________________________________________
To subscribe to AHCA's e-mail list, please send a message to AHCA-SUBSCRIBE@YAHOOGROUPS.COM, then please reply to the confirmation message.
Memberships are paid on a calendar-year basis
[_] Attached is a check for $20.00 for one year's family membership in AHCA
[_] 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 _________________________________________________________