Witherbee Neighborhood Association Membership Application

Back to Forms or Membership

Please print and mail with check to:

Shawn Gordin 539 S 52nd; Lincoln, NE 68510 Phone 402.327.9646

It is important that you include your email address. We send updates and meeting notices via email.

Cut on line below and mail

Witherbee Neighborhood Association
Membership Application

WNA is a Non Profit Association. Only contributions of $35.00 or more will receive a tax deductible receipt.

____ Check here if you like an email when your contribution is received.

Name: ___________________________________

Address: _________________________________

City, St: __________________________________

Zip Code: _________________________________

Phone: ___________________________________

Email: ____________________________________

Could you help with? Please note so below:

Annual Cleanup:

Garage Sales:

Icecream Social:

Newsletters:

Annual Meeting:

Web Site:

Other:

Membership Categories:
___ Single ………............................$10.00
___ Family …........................……...$15.00
___ Senior Family …..............……...$10.00
___ Additional Household Member .. $ 5.00
___ Sponsor …......................……...$35.00
___ Benefactor ……..................…...$50.00 & up
___ Business ….................................$40.00

Benefits of membership:
(besides being in the loop of things)
Single - one vote; Family - two votes, one per person; Senior Family - same as Family; Additional Household Member -one vote; Sponsor - up to three votes, one per person; Benefactor - same as sponsor and listed in newsletter once.
Business - one vote as per bylaws, reduced ad costs, one free listing in newsletter, and an ad on our web site.

Mail to: Shawn Gordin 539 S 52nd, Lincoln, NE 68510