Check
if you do not want your name(s) included on membership lists or appearing in
printed materials. Your personal information will NOT be shared.
Grand Mound Rochester Park Association
PO Box 1266 Rochester WA 98579
(360) 273-0398
rochesterpark@hotmail.com
www.rochester-wa.com
MEMBERSHIP APPLICATION
June 1, 2008 – May 31, 2009
Name __________________________________________________________________
Mailing Address _________________________________________________________
Phone ___________________________ Email ________________________________
Check
if you do not want your name(s) included on membership lists or appearing in
printed materials.
Your personal information will NOT be shared.
Signature(s) _______________________________________ Date _________________
Check
here if you with to apply for a dues waiver and contribute time instead
I/We Would
Like To Volunteer!
(check all that apply)
_____Computers _____ Office Work _____Landscaping
_____ Event Set up/Clean up _____Painting _____Carpentry
_____Fundraising _____ Photography _____Board Member
_____Other (please describe)________________________________________________
Thank You!
If you desire additional information about the Grand Mound Rochester Park
Association or the Rochester Community Park, e-mail
matslewis@msn.com