Membership Senior

Orchard Ridge Neighborhood Association Established in 1952

Membership Senior

Fill out the form below, click SUBMIT to send via e-mail,

then pay via PayPal on this page or

Orchard Ridge Neighborhood Association
Membership Form
2012-2013

Biannual Membership: $25 for Seniors (over 60)
DUES PAID NOW GOOD THROUGH December 2013

Please fill in all information,

especially name/address/phone/email. The amount paid is pre-selected

Check ANY information that applies.

Then select Submit at the bottom.

Don't forget to PAY on the this page!

Indicate how much and manner dues are being paid
	$25/Seniors bianuual dues
Other donation:


Indicate HOW you're paying	Paid via PayPal (click PayPal link on Home Page)

First and Last Name 1 *
Employer/Position 1:
First and Last Name 2:
Employer/Position 2:
Street Address: *
Phone 1: *
Phone 2:
E-mail 1: *
E-mail 2:


Grapevine Newsletter Delivery via:	E-mail
	US Mail

Add this/these E-mail address(es) to the ORNA Yahoo/CrimeWatch e-mail list:


Do NOT publish any of the checked items in Directory	Names
	Street Address
	Phone 1
	Phone 2
	E-mail 1
	E-mail 2

I can help with (check all you're interested in):
	Board Member
	Winter Social
	July 4th Celebration
	Website Design/Maintenance
	Grapevine Newsletter Delivery
	Spring Cleanup of Parks and Medians
	Photographer
	Block Captain (Nbhd Watch/News)
	Welcome Committee
	Grapevine Newsletter
	Biannual Membership Directory
	Proofreading Grapevine
	Easter Egg Hunt
Other:


For Children Living at Home:
Child Name 1, Year of Birth:
Child Name 2, Year of Birth:
Child Name 3, Year of Birth:
Child Name 4, Year of Birth:

Which child(ren) can help with:
Pet Sitting/Walking:
Babysitting:
Lawn Care or Snow Shoveling:
Household Chores:
Other:

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