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2012 - 2013 East Mountain Neighborhood Association
Membership Form

Meetings are held September through June, at 7 pm at

Cedars Hall
Our Lady of Lebanon Maronite Catholic Church

(Route 69 and East Mountain Rd)
Dues are $15.00 per household, per calendar year and payable with submission of this form.
To maintain voting rights, members must attend at least four meetings per year
and dues must be paid in full.

2012-2013

EMNA Meeting Dates


 

(summer break)

September 19, 2012
October 17, 2012
November ?, 2012
December 19, 2012

January 16, 2013
February 20, 2013
March 20, 2013
April 17,2013
May 15, 2013
June 19, 2013
You can view minutes and association information at our web site: www.EastmountainCT.com
Checks are payable to East Mountain Neighborhood Association.
Please include the bottom portion of this form with your check to:
Evelyn Carrah E.M.N.A. Treasurer
67 Brackenridge Drive Waterbury, CT 06706
Phone (575-9180)

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East Mountain Neighborhood Association Membership Form (PLEASE PRINT)

2012-2013

Name:__________________________________________________

Address:________________________________________________

Phone:_______________Email:_____________________________

2012-2013 Dues are $15.00 per household, per calendar year

Checks payable to: East Mountain Neighborhood Association,
Evelyn Carrah E.M.N.A. Treasurer
67 Brackenridge Drive Waterbury, CT 06706
Phone (575-9180)

I would be interested in helping in the following areas:

  • Newsletter
  • Membership
  • Projects
  • Other _________________

Dues Paid:$___________ Check#___________ Date Paid:__________________


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