How Can I Serve My Community and
Protect One of My Greatest Investments… My Home?
Get Involved!!
Check # ________
Deposited _______
Recorded ________
Old Farm Neighborhood Association
2013 Membership Application
DUES: Membership is $12 a year per adult (18 or older) in household. Our year is January through December.
Member Name (A): ____________________________________________
(B): ____________________________________________
(C): ____________________________________________
Address: _____________________________________________________
Home Phone number: __________________________________________
* Cell Phone number: (A) __________ (B) __________ (C)__________
Email (A): ___________________________________________________
(B): ___________________________________________________
(C): ___________________________________________________
Amount paid: $________________________________________________
Date paid: _____________________________________________________
Please PRINT to fill out this form, make check or money order payable to
Old Farm Neighborhood Association (OFNA) and send to
OR
contact:
Carolyn Young
329 Rippling Stream Road
Durham, NC 27704
471-1043
cyoung63@nc.rr.com
*
IN CASE OF EMERGENCY ONLY! NOT FOR GENERAL PUBLIC!