NOTE: THIS FORM MUST BE PRINTED AND MAILED. IT IS NOT AN ON LINE FORM.

MEMBERSHIP FORM

Name(s):

Address:

Phone:

Email Address of each member:

Please indicate:         New Member       Renewing Member

Would you be interested in participating in: Neighborhood Crime Watch, Block Captain, Membership Committee, or Other Volunteer Duties (flyer distribution, etc.)?

Note: Your email address is for the exclusive use of communicating BNA news and events. Your name, address, telephone number and e-mail address will not be shared with or sold to third parties.

 

ANNUAL MEMBERSHIP FEE:

$10 PER HOUSEHOLD /$25 PER 3 Year Membership
($5 for Student Households)

$25 Commercial Membership

Please make checks payable to Boulevard Neighborhood Association and mail to:

Jane Travis
150 Cohen Steet
Athens, GA 3060l

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