Parkwood Residents Association - Membership/Renewal Application

Annual Dues per household: $10

For calendar year _______________

Please mail or deliver your annual PRA membership dues to: Pippa Eibel, 10120 Cedar Lane, Kensington, MD 20895 (email ). Make check payable to: Parkwood Residents Association. Please print your information below:

Name:_______________________________________________________________________________

Address:_____________________________________________ City:___________________Zip:_______

Phone Numbers: daytime___________________________evening________________________________

Email:_______________________________________________________________________________

Enclosed:

____   $10 membership dues

____   $____ donation to Beautification Committee (optional)



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