APPLICATION NO: ______

HAVE YOU HEARD!!!

CHARTLEY HAS A NEW ASSOCIATION

LET YOUR HOME BECOME A MEMBER

Please join with us. Together as a community, we can accomplish our goals to keep Chartley a safe and better place in which to live.

Annual Dues - $10.00

Name(s)(Print): ________________________________________________________

Address: _______________________________________________________________

Home No.: __________________________ Cell No.: _________________________

Fax No.: __________________________ E-Mail: ___________________________

Homeowner ______ Landlord ______

Make check payable to Chartley Homeowners Association, Inc.

Mail check and application to: P.O. Box 408, Reisterstown, MD 21136-0408

Questions call: Lynn 410 833-1758 or Jane 410 833-4240

I(we) will help with:

___ Membership ___ Newsletter ___ Block Captain ___ Hospitality

___ Homeowner Assistance ___ Zoning/Traffic ___ ROG Representative

___ Police Representative ___Scholarship ____COP

Date: _________________

Paid To: Chartley Homeowners Association, Inc.

Amount Paid: ___________ Check No. _______ Cash _______