HIA Membership Form

The Hampton Improvement Association P.O. Box 9735 Towson, MD 21284-9735

Annual Dues
	Membership	$45.00	$

	Security (optional)	$145.00	$

	Legal (optional)	$50	$

	Total Enclosed		$

	Thank You
	Name:
	Address:
	Address:
	Telephone:
	E-mail
	Include your name and address in the Hampton Directory?			__ yes __ no
	Include your email address in the Hampton Directory?			__ yes __ no
	"Your Participation Protects Your Investment"

(use your browser's Print feature to print this form. Upon completion, please attach a check for the appropriate amount made out to The Hampton Improvement Association, and mail to
The Hampton Improvement Association
P.O. Box 9735
Towson, MD 21284-9735