Please join
Arlington Heights Civic Association
You may join online or 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
AHCA
c/o Lisa Bongardt, Treasurer
319 S. Irving 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 $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 _________________________________________________________