NASWC MEMBERSHIP APPLICATION

Instructions:
1. Fill out the form online.
2. Print it.
3. Sign it and send it in with your dues.

Select either a Regular membership or an Over 65 membership, when the head-of-household is sixty-five (65) years of age or older. Only one membership per household is needed.

Regular - $25.00 Over 65 - $20.00

Membership fees are due on October 1st of each calendar year. Statements will be mailed in September.

For first time members only who join before October 1st your dues are prorated per quarter as follows:

100% October-December 75% January - March 50% April - June 25% July - September

For example, if you mail your application on May 15th and are over 65, you would pay 50% of the $20 fee ($10).


Today's Date
Member Name(s)
Home Address
City
Zip Code
Email Address
Home Phone Number
Work Phone Number
Amount Enclosed $

Do you wish to participate in the Round Rock Refuse contract?	Yes No
What trash company are you currently using?
Would you like to be a member of the NASWC Board?	Yes No
Would you like to be a member of the Scholarship Committee?	Yes No
The Zoning Committee?	Yes No
The National Night Out Committee?	Yes No


"Yes, I want to join the Neighborhood Association of Southwestern Williamson County."	________________________________________________ Signature

Please make your membership checks payable to "NASWC" and mail to:	NASWC - Memberships PO Box 170297 Austin, TX 78717

If you have any questions or if you need to verify your membership, please call Treasurer Linda Finley at 258-0794 or email treas@naswc.org All information provided to NASWC will be held in confidence. It will never be given or sold to outside parties.
This form last updated on 02/27/2010 www.naswc.org/membership_form.htm