ANNUAL  HOPP  MEMBERSHIP  APPLICATION

YES, I would like to become a HOPP member!

______ I’ve included my $50 annual household membership fee ($25 for seniors or disabled)

______ I would like to make a donation in excess of my fee for $___

I _____ give _____ do not give my permission for NNDC to list my name as a member in the next newsletter

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Name

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Address

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Phone number

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Email address