Please Print Out This Form, Fill It In and Mail To Address Below.

q     Yes, I/We value the neighborhood and want to join DANA (or renew my/our membership)

 

 

 

Name:

 

 

 

 

 

Address:

 

 

 

 

 

City

 

 

 

 

 

State:

 

Zip:

 

 

 

 

 

Phone:

 

 

 

 

 

E-Mail:

 

 

 

$5 Individual

 

New Member

 

 

 

 

 

$10 Business

 

Renewal

 

 

 

 

 

Send Information on Business Advertisements

 

 

 

 

 

I am interested in helping:

 

Board Member

 

Steering Committee

 

 

 

 

 

Other:

 

Please make checks payable to DANA and bring them to the next DANA meeting or mail to: 

Phyllis Kellogg
2920 E Douglas Ave
Des Moines, IA 50317

 Call Phyllis at (515-) 262-5132 with any questions about membership.
 
DUES ARE FOR ONE YEAR AND ARE RENEWED EACH JANUARY
Membership includes the right to vote at General Meetings and guarantees direct delivery of the quarterly newsletter.

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