SHEHANDOAH NORTH HOMEOWNERS ASSOCIATION, INC. MEMBERSHIP FORM

Please print the following:

DATE: _______________________________________________________________________

NAME: _______________________________________________________________________

ADRESS: _____________________________________________________________________

CITY: ____________________________ STATE: ________________ ZIP: _______________

HOME TELEPNONE #: _____________________________ OFFICE: ____________________

EMAIL: _______________________________________________________________________

I would like to see the SHENANDOAH NORTH NEIGHBORHOOD ASSOCIATION address the following issues:

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I would like to participate in the Association by:

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Please complete this form (whether you are a member or not) and drop it into the mailbox on the sign at the exit to the subdivision. Your continued support has made this association a very effective and we hope to continue to be of assistance to the entire neighborhood. Thank you for your support.

Dues are only $40.00 per year.