The Austinburg Neighborhood Association: Sign-up Form

Come, join your neighbors to make Austinburg a better place! As ANA member, you will receive monthly neighborhood newsletters, have an opportunity to meet your neighbors and share your ideas & concerns about the neighborhood issues, and actively participate in making decisions on the neighborhood's future. To join, print this form and send to: Treasurer, ANA, P.O. Box 14083, Covington, KY 41014. Please make checks payable to: ANA.

Name:
Address:
Telephone:
Email:
Membership Type:	{ } Individual ($5)
	{ } Household ($10) - List Household Members:
	{ } Business ($10):

© Copyright 2004-2007 ANA. All rights reserved. Website development by Austinburg resident Sean Feeney.