Back to Forms or Membership
Please print and mail with check to:
WNA Treasurer, PO Box 5431, Lincoln, NE 68505
Call or email Karen V if you have questions at 402-435-6022
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.
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Name: ___________________________________
Address: _________________________________
City, St: __________________________________
Zip Code: _________________________________
Phone: ___________________________________
Email: ____________________________________
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Could you help with? Please note so below:
Acquire meeting speakers: _____________
Annual Cleanup: _____________________
Annual Meeting: _____________________
Boosting home ownership: _____________
Connect with Bryan/Hawthorne: _________
Garage Sales: _______________________
Holiday Lighting Contest: ______________
Ice cream Social: ____________________
Marketing WNA: ____________________
Membership Committee: _______________
Mulching neighborhood parks: __________
Neighborhood signs: _________________
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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
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Newsletter photography: ______________
Newsletter writing: ___________________
Newsletters delivery:__________________
Park development: ___________________
Pool party: _________________________
Publicity committee: __________________
Serving on the board: _________________
Web Site maintenance: ________________
Witherbee Connect: __________________
Other: ____________________________
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Mail to: WNA Treasurer, PO Box 5431, Lincoln, NE 68505
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