Membership Form

Name:  __________________________________________________________________

Address: __________________________________________________________________

Phone: (home) ____________________________

(work)__________________________________

Email: (his)_______________________________

 (hers)__________________________________

Would you like the above info listed in the Community Directory?

 ___ Yes, all info ____ Yes, name only ____ No

Would you like to be part of the email group lists?

____ West Annapolis ____ Cooking Club

Would you be interested in helping with:

___ Social Committee ___ Newsletter/Flyer Distribution
___ Development Issues ___ Speeding Committee

To join, simply fill out the form below and send it with your membership fee to the following address. Please make checks payable to WACA.  Fee is $10 per family, $5 for seniors over 65.

WACA
626C Admiral Drive, Box 529
Annapolis, MD  21401