30TH ANNIVERSARY MEMBERSHIP DRIVE

MEMBERSHIP APPLICATION
(Merberships Renewable Every January)


Name: __________________________________________________________________

Address: _________________________________________________________________
__________________________________________________________________

Phone Number AND e-mail address: _______________________________________________
___________________________________________________________________________



DUES: PLEASE CHECK MEMBERSHIP CATEGORY

_______ $10 single

_______ $20 Family

Date: ________________


 
check (make payable to HRCA)


Mail to: Hudson River Community Association of Northwest Yonkers, Inc.
P.O. Box 866
Yonkers, New York 10702-0866