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2016 - 2017 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.

2016-2017

EMNA Meeting Dates


 

(summer break))

September 21, 2016
October 19, 2016
November 16, 2016
December 21, 2016

January 18, 2017
February 15, 2017
March 15, 2017
April 19,2017
May 17, 2017
June 21, 2017
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:
Colin Coburn E.M.N.A. Treasurer
 23 Westport Drive, Waterbury, CT 06706
Phone (203-754-2529)

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East Mountain Neighborhood Association Membership Form (PLEASE PRINT)

2016-2017

Name:__________________________________________________

Address:________________________________________________

Phone:_______________Email:_____________________________

2016-2017 Dues are $15.00 per household, per calendar year

Checks payable to: East Mountain Neighborhood Association,
Colin Coburn E.M.N.A. Treasurer
 23 Westport Drive, Waterbury, CT 06706
Phone (203-754-2529)

I would be interested in helping in the following areas:

  • Newsletter
  • Membership
  • Projects
  • Other _________________

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


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