Highland Gardens Civic Association Application
"Neighbors Helping Neighbors"


Come join us.....circle one
* Regular member (homeowner) $12 a year
* Associate member (renter) $12 a year
* Business member $20 a year

Please Print



Date ____________________________________

Name _____________________________________________________________________________
                  (Last)                                        (First)

Address ___________________________________________________________________________


City, State, zip code ________________________________________________________________


Phone number _____________________________________________________________________


Email Address ______________________________________________________________________


We would appreciate your comments/suggestions _________________________________________________________________________


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