2021 Annual Dues $15 per person HLRCA annual dues are $15 per person ($30 per couple) with 100% going directly to improve our neighborhood. You now have the option to become a member or renew your membership online including paying dues: http://www.hlrca.com/membership Alternatively, you are welcome to utilize the below form and mail a check. Our monthly meetings are held on the 4th Wednesday of each month at 7pm. We encourage you to get involved! ---------------------------------------------------------------------------------------------------------------------------- Cut on the line & mail the bottom with your check to the address below. Please make checks payable to “HLRCA” Primary Member’s Name: ____________________________________________________ Seconda Member’s Name (if any): _____________________________________________ Street Address: ____________________________________________________________ Telephone: ______________________ Primary Member Email: ____________________ Second Member Email (if any): ____________________ Total Funds Enclosed __________ ❏ New member ❏ Renewal Member Mail To: Historic Licking Riverside Civic Association PO Box 875, Covington, KY 41011 Areas of Interest (Please √ as many as you wish to be involved in) ❏ Riverbank Cleanup ❏ Safety ❏ Lobster Bake Party ❏ Riverbank Stability ❏ Unify Community ❏ Other: ❏ Traffic Re-route ❏ Beautify Community ____________ ❏ Home & Garden Tour ❏ Progressive Dinner ❏ Block Party ❏ Parking
Enter the password to open this PDF file:
-
-
-
-
-
-
-
-
-
-
-
-