---MHCA Membership Application---
We, the residents, organizations and businesses of the Marshall Heights Community have come together to form the Marshall Heights Civic Association with the intent to empower, protect, and advocate for the community; to enhance the civic betterment of the neighborhood and adjacent neighborhoods that are without adequate representation; and to guide the revitalization of the area to ensure that the preferences, culture and traditions of residents are preserved and respected.
Name *
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Date of Birth *
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Address *
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Email Address *
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Phone Number *
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Are you interested in hearing about volunteer opportunities with the Association? *
If so, please select the areas in which you have interest:
Do you have any ideas for MHCA that you would like to share?
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How did you hear about MHCA? *
Are there additional members of the household that want to be members? *
If yes, please provide their name, date of birth, phone number and email address below:
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