Form Page: NNIMembershipApplication

General Information

Membership Application for Year:

Neighborhood Name:

Website Address:

Association Boundaries:

Number of Houses in Neighborhood:

Located in County:

City Council District:

KCMO Police Division:

Association Meeting Information:

Date(s):

Time:

Location:

Election of Officers and Board:

Date(s):

Time:

Location:

Association Officers

President

Name:

Email:

Phone:

Address:

City:

State:

Zipcode:

Vice-President

Name:

Email:

Phone:

Secretary

Name:

Email:

Phone:

Treasurer

Name:

Email:

Phone:

Association Newsletter

Yes

Does Your Association Produce a Newsletter?

How frequently do you publish your newsletter:

Newsletter Editor

Name:

Email:

Phone:

Submit Your Application

Please review all information that you have entered to make sure it is complete and accurate. Remember that all fields in the "General Information" and "Officers" section of this applicaton are required. Also make sure that you have listed the names and full contact information for all members of your Board of Directors.

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If you have questions about this application, please contact Northland Neighborhoods, Inc. at (816) 454-2000.