Boerum Hill Association Membership Form

2008 Membership Application

If you have problems with this form, please . To pay by check, please use our PDF form instead.

Choose Your Membership
Enroll:
Name:	First: Last:
	First: Last: (family member)
	* Family memberships (2+ adults in the same household), are entitled to two votes. Individual members receive one vote. The BHA membership year is from January 1 to December 31. Members in good standing as of June 1 may vote in the June board election. All others, including business supporters, may not vote but are welcome at all BHA events and activities.
Optional Contribution:	$100 - "Good Neighbor" $250 - "Neighborhood Hero" Other $
Optional Contribution:	Donations of any size you choose are always welcome and help support the important work of the BHA. The Boerum Hill Association is a New York State non-profit corporation, but not a 501(c)(3) charity.
Autorenew?	Yes No
Autorenew?	Save time next year with Autorenew. You'll receive an email a few weeks before your renewal date with the option to cancel.

Tell Us What Matters To You The BHA is a volunteer organization. Join your neighbors and contribute your talents to the issues that concern you.
Atlantic Yards	Public Relations & Communication (neighborhood
Block Captain (help distribute BHA notices on your block)	calendar, block associations, press releases, etc.)
Boerum Hill History	Parks & Playgrounds (improving Douglass/Greene Park)
Community Events (meetings, holiday party, house tour)	Quality of Life (public safety, sanitation, recycling, noise)
Greening & Neighborhood Beautification	Technology (website, email, online tools)
Land Use (development, zoning, building reuse)	Traffic & Transportation (transit, parking, etc.)
Landmarking	Tutoring (homework help to neighborhood youth)
Membership (recruitment, member services)	Other:
Newsletter
Other Comments:

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