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Membership Form

Please print and fill out this page, and return (with payment) by mail.

 

Your Name _____________________________________________________________________

Street Address ___________________________________________________________________

City ___________________________________________ St. ____________ Zip ______________

Please mail to:

Hartwell Improvement Association

PO Box 15608 Cincinnati, Ohio 45215-0608  

Please include your $10.00 yearly dues payable to:  Hartwell Improvement Association.

The membership director will then mail your membership card to you.