Current members wishing to pay dues, please use this form and mail as instructed below:
Name and Address:
Name:_______________________________________
Street:_______________________________________
City:_______________________ State:________ Zip:____________
Phone:___________________ E-mail Address:___________________
Date:__________________ Signature:_______________________________________
Membership Dues: [ ] $25.00 Annually or [ ] $150.00 Lifetime Membership
Please make check payable to Hill 4-11 Association and mail it along with this form to:
Hill 4-11 Association
ATTN: Dick Hill, Treasurer
630 Woodside Dr.
Kent, OH 44240-2664