MMCA MEMBERSHIP COUPON
Cut out Coupon, fill out below and make $10 check payable to “MMCA”.
Mail to Heather Kogut, 6144 N. 12th St., Arlington, VA 22205
1) MMCA Member(s): (Please fill in AS YOU WOULD LIKE IT TO APPEAR IN THE DIRECTORY)
_________________________________________________________________________________
2) If you were listed in last year’s MMCA directory and you want the same information included in this year's Directory, check here______ and skip to number 5, but add your email address, if you wish to have it listed.
3) Only if you do not wish to have your name listed in the MMCA Directory, check here____ and skip to number 5.
4) Directory Information:
Children/Others in Household (optional)___________________________________________________________
Address:___________________________________________________________________________________
Phone:____________________________________________________________________________________
E-Mail Address:_____________________________________________________________________________
5) Your ideas for new MMCA activities:______________________________________________________________
__________________________________________________________________________________________
6) 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.
Also, see our web site at www.madisonmanor.org
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