Off-line Membership Application 2020

2020 Membership Application

Annual Dues for fiscal year Jan. 1-Dec. 31 are payable beginning Sep. 2019, and must be paid by Dec. 31, 2019, to be included in the 2020 directory.

To pay by cash or check complete and print this form. Bring it to the monthly meeting or mail it together with your check  to:  HCMGA Treasurer, 2003 Pleasant St., Noblesville, IN 46060.   Please do not mail cash.  Dues and application MUST be together.

Membership Application

Member(s)

Address

City
State
Zip
Mentors
(You may record 1 volunteer hour in a calendar year when you bring refreshments.)
Refreshments

Application Type

Membership Type *
County
State

Fees

Membership
Newsletter
Late registration
Print form

 



For internal use only: Background check verified: _______ Membership database entry: __________