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Membership Application Osterville Village Association 2006-2007 Dues Membership Enrollment (Please print this page)
OSTERVILLE ADDRESS: NAME: ________________________________________________________ ADDRESS: _____________________________________________________ CITY: ____________________STATE: ________________ZIP CODE: _____________ EMAIL ADDRESS: _____________________________________________ MAILING ADDRESS (IF DIFFERENT FROM ABOVE): NAME: ________________________________________________________ ADDRESS: _____________________________________________________ CITY: ____________________STATE: ________________ZIP CODE: _____________
MEMBERSHIP ELIGIBILITY: Any year round or part time resident or business owner in Osterville who is 18 years or older may become a voting member. As in the past, any household can participate as an individual voting member. Annual dues remains a choice between $15 Membership or $30 Sponsorship. Please check one NAME(s) $15 Member $30 Sponsor Subtotal 1. _________________________________ _________ _________ _________ 2. _________________________________ _________ _________ _________ 3. _________________________________ _________ _________ _________ 4. _________________________________ _________ _________ _________ Optional: Special Contribution to the Robert J. Smith, Jr. Osterville Fund _________ 100% of the ROBERT J. SMITH, Jr. OSTERVILLE FUND donations go to Osterville Non-Profit Organizations whose missions are to serve the Village. The Robert J. Smith, Jr. Osterville Fund OVA Standing Committee, recommends Non Profit Grant Requests to the OVA Board of Directors, for consideration and approval. Total _________
PLEASE PRINT THIS PAGE AND MAKE CHECKS PAYABLE TO OSTERVILLE VILLAGE ASSOCIATION AND MAIL TO P.O. BOX 520, OSTERVILLE, MA 02655 |
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Send mail to webmaster@ostervillevillageassociation.org with questions or comments about this web site.
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