Ponca Hills Preservation Association Membership 2017

 

Name________________________________   Spouse_______________________________

 

Address_____________________________________________________________________

 

Phone #________________  Email Address_________________________________________

 

Family Membership $20.00 _______ Date: _________ Landowner______ Homeowner_________

 

Single Membership $10.00 _______ Date: _________ Landowner _______ Homeowner _______

(Membership is December 1, 2016 through November 30, 2017)

 

Interests you have ______________________________________________________________

 

*** Make check payable to:  PHPA ***

 

Please print out this page and mail it and your payment to:

 

Bev Caster

The Ponca Hills Preservation Association

13207 N. 42nd St.

Omaha, NE 68112