Market Heights 2021 Membership Application
If you prefer a printable form to fill out and mail in with a check, please click the link below to print out the form. The mailing address is on the bottom of the form.

https://docs.google.com/document/d/1SsVtqjIYyNLvTOO99uWOyJDL0kkFNRwAtHTqeyln8fw/edit?usp=sharing
Email address *
First Name *
Last Name *
Spouse/Partner
Address *
Phone (cell or home)
Years of Residence in Neighborhood
Every year the Neighborhood Association applies for a grant from the Stark Community Foundation. This grant must be a benefit to the entire neighborhood and can't be used for parks, streets, sidewalks or other similar items. In the past we have done new landscaping in the traffic islands, new utility pole banners, a tote bag for everyone in the neighborhood and similar things. If you have any grant ideas for 2021, please share them below.
Children in household age 0-2 years (used for planning neighborhood activities) Skip if not applicable.
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Children in household age 3-6 years (used for planning neighborhood activities) Skip if not applicable.
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Children in household age 7-10 years (used for planning neighborhood activities) Skip if not applicable.
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Children in household age 11-14 years (used for planning neighborhood activities) Skip if not applicable.
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Children in household age 15-18 years (used for planning neighborhood activities) Skip if not applicable.
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The membership dues for 2021 are $25 per household. Should you wish to donate an amount above $25, please specify below how you would like that money to be spent.
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Thank you for becoming a member of the Market Heights Neighborhood Association for 2021! We appreciate your membership. After submitting this form, click the link on the next page to pay your 2021 dues securely via PayPal. You will have the option of using a credit card / debit card or your own PayPal account. Please feel free to leave any additional comments below.
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