P.O.A Membership Form
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Name(s) _____________________________________________________ |
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Address _____________________________________________________ |
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Village/Villa __________________________________________________ |
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County ___________________________ Zip _________________ |
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Phone __________________________ |
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E-Mail _________________________________________ |
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New _______ Renewal ___________ Date _______________ |
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Annual Dues: $10.00 __________ Extra Donation $__________ |
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TOTAL ENCLOSED $ ______________ |
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The POA - P.O. Box 1657, Lady Lake FL. 32158-1657 Memberships are $10.00 per household and run annually from January 1st to December 31st. Please include a stamped, self-addressed envelope for return of your membership card by mail. Otherwise, your card will held for pickup at our monthly meeting. Thanks in advance for any additional donations you are able to make. And, thanks again for your support of your POA. |