2015 Dues Form - Montgomery Square Citizens` Association
Montgomery Square Citizens’ Association PO Box 34811 Bethesda, MD 20827 2015 Dues & Information Form Dues $50 Please return this form with your dues payment The below information is for the MSCA Directory and e-announcements. MSCA distributes a paper directory every two years. 2015 is an off year, but MSCA will make available a PDF copy this summer. Please make changes or additions to the below info. If there is no info listed and you would like to be in the directory or receive e-announcements, please complete. Directory information comes from the returned forms. E-announcements can only be sent to households that provide an email address. Questions - Contact Steve Schuck at [email protected] or call 301-580-0177. #1 First Name: Last Name: #2 First Name: Last Name (if different): Address: Phone #: (we only print 1 number) Children (birth year optional): Email 1: Email 2: If your child would like to be listed in the Youth Services Directory please give: Name, Age and Service Provided (babysitting, snow removal, yard work, music lessons, tutoring, etc.) Add our house to the MSCA Free Tree Program List - Yes No Already On List Already Planted MSCA Comments/Feedback – please use back for more room Annual Dues are $50. Additional Contributions are always welcome. A return envelope is enclosed. Neighborhood dues are used to pay for: Landscaping & Maintenance to five entrance areas of Montgomery Square, Newsletters, Neighborhood Directory, MSCA website, Social Functions, EAnnouncements, Yard Sale ads, and other agreed upon expenses. Make checks payable to: MSCA Thank you for your support! Return to: MSCA, Inc. PO Box 34811 Bethesda, MD 20827 Amount paid: __________ or drop off at: Roger Hahn’s 11906 Smoketree Rd
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