Bent Trail - Briar Ridge - Moss Creek
Homeowner's Association
2009 Membership Application

< Back    * Required Information
If you DO NOT want us to send you email, please check this box . . . . . . . .
If you DO NOT want to be listed in the directory, please check this box . . .
Otherwise, any information you enter (e.g., name, address, phone, email, children's names) will be
published in our print directory.
Home Phone* xxx-xxx-xxxx Member last year? Click here to Renew
 
Home Address* then, select your street number:
 
Last Name* First Name*  
   
Email address* Cell phone    xxx-xxx-xxxx
   
Password* At least 4 characters
 

If you would like to enter a second household member, enter them here:

Last Name  First Name  
    
Email address  Cell phone    xxx-xxx-xxxx
   
Password   At least 4 characters  
 


Children’s names (living at home)


Neighborhood children’s services your children would like to offer.

1. Child’s Last Name
 First  Age  Phone
Service   Other service

2. Child’s Last Name
 First  Age  Phone
Service   Other service

3. Child’s Last Name
 First  Age  Phone
Service   Other service

4. Child’s Last Name
 First  Age  Phone
Service   Other service

Participate in the following Social Activities (in addition to HOA membership):



ACTIVITY ANNUAL FEE COST TOTAL
Annual Membership

Pays for entrance landscaping, lighting, watering, minor wall repair, etc. ($75, $80 if paid after October 31st, 2008)

$80
($80)
$80.00

Fee to participate in children's parties. Per family, that’s just $5/party.

$15 $ 0.00 
Additional vountary Contribution Please add any additional contribution in the text box and then click here to update the total amount due. $ $ 0.00
Total Amount Due $80.00


If you want to place an advertisement in our print directory, please check this box
(we will contact you about advertisement options and pricing)

Volunteer to help on the following committees, please check boxes that apply:

Names of interested family member(s):

How would you like to pay?

     
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