Ormond Civic Association

www.ormondcivicassociation.org

www.ormondestates.org
A neighborhood association in Destrehan, Louisiana  
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ELECTRONIC MEMBERSHIP APPLICATION FORM-

Please fill out the form below and submit this information to the OCA for processing. This information will remain confidential. Our Membership Chairman, Vince Bruno, will send you an invoice. Thank you for supporting the OCA. If you wish to submit this application by filling out a paper version, please go to the paper Membership Application Form below. If your Member information has changed, please go to the Member Information Update Form below.

ORMOND CIVIC ASSOCIATION

APPLICATION FOR MEMBERSHIP

Last Name

First Name

Spouse

Address:

 
Street
Apt
City
State
ZIP

Telephone

FAX

E-mail 1

E-mail 2

Comments

Committee Participation Request

(Please select radio button for the Committee that you wish to join):

Community Affairs

Membership and Sponsorship

Covenants and Ordinances

Beautification

Infrastructure

Ormond 5k Run

Public Relations

Annual Membership Rate - $35.00

(Good for 12 months from the date that payment is received.)

Please bill me.

PAPER MEMBERSHIP APPLICATION FORM-

> printable version of OCA Membership Form

ORMOND CIVIC ASSOCIATION

 APPLICATION FOR MEMBERSHIP

LAST NAME: ______________________________________________________________

FIRST NAME: ______________________________________________________________

Spouse/Partner

First name: ______________________________________________________________

address: _________________________________________________________________

                    _________________________________________________________________

                    _________________________________________________________________

HOME PHONE: _____________________________________________________________

E-MAIL (S) FOR E-NEWS:

(Kept Confidential):__________________________________________________________________

COMMITTEE PARTICIPATION REQUEST:

           ______COMMUNITY AFFAIRS

          ______MEMBERSHIP AND SPONSORSHIP

          ______COVENANTS AND ORDINANCES

          ______BEAUTIFICATION

          ______INFRASTRUCTURE

          ______ORMOND 5K RUN

           ______PUBLIC RELATIONS

ANNUAL MEMBERSHIP RATE – $35.00

(Good for 12 months from the date payment is received.)

PLEASE MAKE CHECK PAYABLE AND MAIL TO:         OCA

                                                                                         P.O. BOX 46

                                                                                  DESTREHAN, LA. 70047

Please call Vince Bruno, OCA Membership Chairman, at 985-764-2515 with any questions.

MEMBER INFORMATION UPDATE-

Please update your information that has changed and submit this form. Thank you.

ORMOND CIVIC ASSOCIATION

MEMBER INFORMATION UPDATE

Last Name

First Name

Spouse

Address:

 
Street
Apt
City
State
ZIP

Telephone

FAX

E-mail 1

E-mail 2

Comments

 

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Last modified: 01/09/11
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