Madison Manor Citizens Association

MMCA MEMBERSHIP FORM

Print out form, fill it out and make $10 check payable to “MMCA”.

Mail to Melissa Koenig, 982 N Quintana St., Arlington, VA 22205


Name(s): (Please fill in AS YOU WOULD LIKE IT TO APPEAR IN THE DIRECTORY)

_________________________________________________________________________________

If you were listed in last year’s MMCA directory and you want the same information included in this year's Directory, check here______. Please forward dues to the address above.

Children/Others in Household (optional)___________________________________________________________

Address:___________________________________________________________________________________

Phone:____________________________________________________________________________________

E-Mail Address:_____________________________________________________________________________

Your ideas for new MMCA activities:______________________________________________________________

__________________________________________________________________________________________

Activities you might be willing to help with:_________________________________________________________

__________________________________________________________________________________________

TO SUBSCRIBE TO THE MMCA EMAIL GROUP (We’ll send out reminders of Meetings, Activities, and Information important to the neighborhood) SEND A MESSAGE FROM YOUR EMAIL ADDRESS TO: mmcaAnnounce-subscribe@yahoogroups.com.

Last updated 1/11/2010.

Comments? Contact the