ENROLLMENT FORM
ALGER PARK/ASH CREEK NEIGHBORHOOD
Note: this is not a homeowners association. Membership dues and/or contributions are always welcome and always voluntary.
Name________________________________________ Home Phone__________________________________
Occupation____________________________________ Work Phone___________________________________
Other Adult Resident(s)_________________________________________________________________________________
Occupation______________________________________________ Phone_______________________________________
Address_________________________________________________ Own __ Rent__
Email (print clearly) ____________________________________________________________________________________
How long a resident in the neighborhood? Years________________ Months_________________________________________
Do you own a business and want to be included in the web page at no cost? Yes __ No __
If yes, web page (url) ___________________________________________________________________________________
Business Name________________________________________________________________________________________
Business address ______________________________________________________________________________________
Business phone ________________________________________________________________________________________
Membership dues are payable each September:
* $10.00 Basic
* $20.00 Bronze
* $50.00 Silver
* $100.00 Gold
* _________________ Other contribution
Please make checks payable to: Alger Park/Ash Creek Crime Watch 1153
ATTN: Treasurer
Box 181228
Dallas, TX 75218 - 8228
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You may print this form out and mail it in to the above address. Your dues go to the maintenance of the crime line phone, web page hosting and maintenance as well as many other worthwhile neighborhood activities and beautification projects. If you have any questions please email and we will get back with you as soon as possible. You can find our neighborhood boundaries and other information on our home page.