Back to Forms or Membership
Please print and mail with check to:
WNA Treasurer, PO Box 5431, Lincoln, NE 68505
Email or call Kathy Holland
402-310-9153
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 $50.00 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: ______________________
Board of Directors: be a board member: ____
Annual Meeting: _____________________
Boosting home ownership: _____________
Garage Sales: _______________________
Holiday Lighting Contest: ______________
Ice cream Social: ____________________
Marketing WNA: ____________________
Membership Committee: _______________
Mulching neighborhood parks: ____ ______
Neighborhood signs: _________________
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Membership Categories:
___ Household.......................……...$20.00
___ Senior Household.............……...$15.00
___ Sponsor …......................……...$50.00
___ Business ….................................$50.00
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Neighborhood Clean-up _______________
Newsletter Ad Sales _________________
Newsletter photography: ______________
Newsletter writing: ___________________
Newsletters delivery:__________________
Pool party: _________________________
Publicity committee: __________________
Serving on the board: _________________
Web Site maintenance: ________________
Yard of the Month: __________________
Other: ____________________________
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Mail to: WNA Treasurer, PO Box 5431, Lincoln, NE 68505
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