Join us in becoming a strong and active neighborhood by filling out the form below and sending it with your $25 dues to:
Walnut Bend Civic Association
P. O. Box 740022
New Orleans, LA 70174
Please print the information below:
| New Member ______ | Returning Member ______ |
NAME _________________________________________________________________
STREET ADDRESS _______________________________________________________
________________________________________________________________________
E-MAIL ADDRESS ________________________________________________________
OCCUPATION ___________________________________
Do you need a Walnut Bend Decal? Yes _____ No _______ (add $1 for each additional decal.)
How can the Walnut Bend Civic Association better assist you?
________________________________________________________________________
I am interested in serving on the following committee. (Please check one)
| ___ Beautification | ___ Public Information | ___ Neighborhood Watch |
| ___ Social | ___ Public Affairs | ___ Nuisance and Complaints |
| ___ Membership | ___ Night Out Against Crime | ___ Newsletter Distribution |
*Make checks payable to the Walnut Bend Civic Association, Inc.
Pay directly to Elmo Peters, Treasurer, at our general meeting or mail registration form to the address above.
Date: May 2009
Created by: Liz Anderson, Web Designer
For more information ontact: eanderso@cox.net