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MONFORT HEIGHTS/WHITE OAK
COMMUNITY ASSOCIATION
MEMBERSHIP FORM
 
 
 
Name:________________________________________
 
Business Name:________________________________
 
Street Address:____________________________________
 
City:________________________________
 
State:______________________
 
Zip:___________________
 
Phone:____________________
 
E-Mail:___________________________
 
Circle Membership Type:      NEW        RENEWAL
 
Send Newsletter by Email (Please Circle Response):      YES       NO
 
 
 
Make check payable to:  MHWOCA
 
 
Dues
Family: $10 per year or $25 for three years
 
Business: $25 per year or $60 for three years
 
 
Mail to
MHWOCA
PO Box 11342
Cincinnati, Ohio 45211
 
 
Thank you