MMCA MEMBERSHIP COUPON

Cut out Coupon, fill out below and make $10 check payable to “MMCA”.

Mail to Jackie Gonzalez, 6111 N. 11th Rd., Arlington, VA 22205

1) MMCA Member(s): (Please fill in AS YOU WOULD LIKE IT TO APPEAR IN THE DIRECTORY)

_________________________________________________________________________________

2) If you were listed in last year’s MMCA directory and you want the same information included in this year's Directory, check here______ and skip to number 5, but add your email address, if you wish to have it listed.

3) Only if you do not wish to have your name listed in the MMCA Directory, check here____ and skip to number 5.

4) Directory Information:

Children/Others in Household (optional)___________________________________________________________

Address:___________________________________________________________________________________

Phone:____________________________________________________________________________________

E-Mail Address:_____________________________________________________________________________

5) Your ideas for new MMCA activities:______________________________________________________________

__________________________________________________________________________________________

6) Activities you might be willing to help with:_________________________________________________________

__________________________________________________________________________________________

TO SUBSCRIBE TO THE MMCA EMAIL GROUP (We’ll send out reminders of Meetings, Activities, and Information important to the neighborhood) SEND A MESSAGE FROM YOUR EMAIL ADDRESS TO: mmcaAnnounce-subscribe@yahoogroups.com. Also, see our web site at www.madisonmanor.org

Last updated 9/27/03. Comments? Contact the Webmaster or Webmistress.