Membership/Renewal Form
Please indicate the membership level you would like. *
Please indicate how you would like to pay for your membership. *
Member Information
Please complete all the information below to ensure that your membership is processed correctly.
Prefix *
How would you like us to address correspondance.
(Primary Member) First Name *
Your answer
(Primary Member) Last Name *
Your answer
Address Line 1 *
This is the address we will use to send you our quarterly publication the "Auburn Heights Herald" as well as membership correspondance.
Your answer
Address Line 2
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone *
Your answer
Email *
For membership correspondence and any communications selected below ONLY
Your answer
(Secondary Member) First Name
For Dual Membership level and above.
Your answer
(Secondary Member) Last Name
For Dual Membership level and above.
Your answer
Indicate Your Communication Preferences
You will automatically receive Tom Marshall's Weekly eNews, but we respect your wishes.
If you'd prefer to opt out of receiving the Weekly eNews, simply check the appropriate box below (we won't take offense and you can opt back in by contacting us at any time).
Please share any questions or comments here.
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