Copy, complete and send your your form via e-mail to email@example.com or print and mail to:
White Rock Neighborhood Association
Dallas, TX 75214
If you have any questions, please send an email to WRNA Secretary.
Membership Renewal Form
copy, complete and paste it into an e-mail. Send to firstname.lastname@example.org
Your Street Address: ______________________
Annual Household Membership Dues are $20. Please pay via Zelle to email@example.com, mail a check to our PO Box, or contact the Secretary to make cash payment.
Please copy, edit and return this form.
Contact Information is for the use of our neighborhood association and is not shared publicly. For annual renewal, please complete any missing information or make necessary corrections to the information below and return via email to firstname.lastname@example.org.
Please insure we have your correct email address. We use email to share information bulletins from various departments of the City of Dallas.
Contact Information [ ] Check here if your information is unchanged
__ Name 1: _____________
__Phone 1: ______________
__Cellphone Phone 1: ______________
__E-Mail 1: _______________
__ Name 2: _______________
__Phone 2: ________________
__Cellphone Phone 2: ___________________
__E-Mail 2: _________________________
The membership directory is
separate and voluntary. If you choose to participate in the directory, the
selected information will only be shared with members who choose to participate.
(Check mark here to
___ This household chooses to
PARTICIPATE in the Neighborhood Directory. An “X” has been inserted in front
of any information field, above, that we DO NOT wish to include in the
one) Send meeting reminders via: [__]
| [__] postcard
[ __] e-mail AND postcard.
You may later contact the
secretary to change your preference.
Thank you in advance for participating in WRNA. Please talk with your neighbors and encourage them to participate, too.