Mentelle Neighborhood Association membership application form

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Members must be current property owners in Mentelle neighborhood, or have rented a home or operated a business within the neighborhood for at least one year.

Email *

Name(s) as you would like to be listed in the neighborhood directory *

Residence or business address within the neighborhood *

Best phone number to reach you *

Would you like a phone number listed in the neighborhood directory? If so, give it below. (Otherwise, members' phone numbers are not published in the directory.)

Occupation(s)

Neighborhood activities in which you would be interested in participating.

I have, or will, pay my $50 lifetime dues by mailing a check or paying via PayPal on the site soon after I submit this form. Thank you! *

Yes

Required

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