South Lamar Neighborhood Association Membership Form

 

I am a: [     ] New Member            [     ] Renewing Member

 

Please complete the following. Couples, please use both first names.

 

 

Name(s):_________________________________________________________

 

Street Address:____________________________________________________

 

 

City, State, Zip:  ____________________________________________________

 

 

Phone Number:  (       ) _______________________________________________

 

 

E-mail : __________________________________________________________

 

 

[      ]  Check if you want to join SLNA's Yahoo Email Group

 

If you live ouside SLNA's borders, please note the address of

the SLNA residential property you own:

 

________________________________________________________________

 

 

Membership is $10/year per household, due in January each year, or be a ‘Star Contributor’ for $20 (or more) per year.

 

 

Total Enclosed $_______________________

 

[      ] Request Hardship Waiver of Membership Fee

 

 

Make checks payable to "South Lamar Neighborhood Association"

 

 

Mail to:  Hilary Dyer

               SLNA Treasurer

               1705 Lightsey Rd.

               Austin, TX 78704