ASPEN HILL CIVIC ASSOCIATION
               Membership Application/Renewal

           Please print this, fill it out, and
           mail with your check or money-order.

Please make checks payable to the "Aspen Hill Civic Association"
Mail to:        Melvin Bell
                3916 Wendy Lane
                Silver Spring, MD 20906 

        Dues are $7.00 per person, $12.00 per household
Date:                                   Please check one:
Check:                                  New Member: __
Amount:                                 Renewal:    --  
   
Please Print:
NAME(s)_____________________________________________________________________

ADDRESS_____________________________________________________________________

TELEPHONE
NUMBER______________________________________________________________________

E-MAIL Address (to receive the newsletter)__________________________________

Do you want the "breaking news" and the "Newsletter" by e-mail?     Yes_______No______


I would like to volunteer to: 

Sit on the Board ______

Help with Newsletter ______

Special Projects _____