Thank you for joining, or renewing, your full membership in the Dearborn Hills Civic Association. At this time, we are not able to take payment and applications on line.
Please print the page below and send your form along with a check to the PO Box on the application.
2011 Membership Application / Renewal
I Am Already a Member ( ) Yes
Name _____________________________________
Spouse _______________________________________
Address___________________________________________________
Phone Number_________________
E-Mail Address _________________________________________________________________________
(We may use your email address to notify you of upcoming DHCA events. Your address will not be sold to other organizations. )How long at this Address? ________________________________________________________________
Membership is $15.00 per household ($12.00 for our senior residents 65 or older)
Amount Enclosed _____________ Dues cover membership from January 1 2011 to December 31, 2011
Please mail to: Dearborn Hills Civic Association
P.O. Box 2535
Dearborn, MI 48123
