Wilder Park Neighborhood Association

2008 dues are due!

Jun 11, 2008

Please fill out and return this membership form with your payment to Wilder Park Neighborhood Association. If you have already paid your 2008 dues?—Thank you! A large membership means a stronger presence in the community, and our voices will be heard! Future mailings will only be sent to active memberships.

Name_____________________________________________

Mailing Address_________________________________

State:___ Zip_______

Email:___________________________________________

Phone:_______________

(CIRCLE ONE): INDIVIDUAL $5
BUSINESS/FAMILY $10 LIFETIME $50

PLEASE RETURN FORM AND PAYMENT TO:
WILDER PARK NEIGHBORHOOD ASSOCIATION
120 W. FAIRMONT AVE.
LOUISVILLE KY 40214