HHIA MEMBERSHIP APPLICATION

Please print this page, fill in the appropriate fields and mail to:
HHIA, P.O. Box 5235
Hacienda Heights, CA 91745

 

____Mr. ____Mrs. ____Ms.

 

Names(s)____________________________________ Email________________________

 

Street_______________________________________ Phone________________________

 

City________________________________________ Zip___________________________

____ANNUAL RESIDENTS DUES...................................................... $10

____LIFE MEMBERSHIP DUES........................................................... $75

____NEWSLETTER AND POSTAGE DONATION............................ $10

____ADDITIONAL GIFT TO SUPPORT HHIA.....................$_________

Enclosed is a check for $________ Payable to HHIA

____Renewal Membership ____New Member