Join Us - Family Membership

2017 Meeting Schedule

Patrick Henry Elementary School Library at 7:00 PM. Check the newsletter for details.

Please join
Arlington Heights Civic Association

Please fill out this form and mail it to us.

Family or individual membership is $20.00 per year.
Business membership is $25.00 per year

Members may also advertise in our quarterly newsletter, OVER THE FENCE

Please fill out this form and send it to

Scott Winn, Treasurer
Arlington Heights Civic Association
P.O. Box 40311
Arlington, VA 22204

Family or Business Name ___________________________________________________________

Family Member Name _____________________________________________________________

Children's Names _________________________________________________________________

Home Address ___________________________________________________________________ Arlington, VA 22204

Work Phone _____________________________  Home Phone _____________________________  (optional)

E-mail address ____________________________________________________________________
(Add me to AHCA's e-mail list, AHCA@YAHOOGROUPS.COM)

Memberships are paid on a calendar-year basis

[_] Attached is a check for $20.00 for one year's family membership in AHCA

[_] Attached is a check for $25.00 for one year's business membership in AHCA

[_] Attached is an additional donation of  [$______________ ] (donations are not tax-deductible at this time)

[_] Attached is a check for $_____ for four advertising insertions in Over the Fence, our quarterly newsletter
      Please attach your camera-ready advertising copy.   (View our ad rates)

Optional:  I would like to be involved with / help out with:

[_] Becoming an officer or serving on a committee

[_] Distributing the newsletter or other announcements

[_] Contributing articles for the newsletter (subjects of interest: _________________)

[_] Events organizer (social events, kids programs, etc.) ______________________

[_] Other _________________________________________________________