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2010 SOUTHWESTERN HILLS NEIGHBORHOOD
ASSOCIATION MEMBERSHIP FORM
Download
Application (Word Doc) or print this page.
Name ________________________________________________________________
Telephone____________________________________________________________
Address ______________________________________________________________
Email ________________________________________________________________
City, State, Zip __________________________________________________________
Annual Dues
___ Family Membership $20.00 ___
Individual Membership $10.00
___ Business Membership $25.00
___ Advertising Business Membership $100.00
___ Additional Donation to the Assocation $ _______
Mail check & membership form to: Southwestern Hills
Neighborhood Association
Attn: Treasurer
P.O. Box 21222
Des Moines, Iowa 50321
NOTICE OF PRIVACY POLICY: SWHNA will maintain the confidentiality
of the information contained on this form pursuant to its
written bylaws.
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