NOTICe
Membership Application
North Old Town Independent Citizens Association of Alexandria, Virginia
Post Office Box 25571 Alexandria, VA 22313

President- Roger Waud- 703-838-7603

Membership dues: Basic membership: $15.00; Family: $25.00; Sponsor $50.00 - $149.00;
Angel $150.00 + (Our non-profit status means your dues and contributions are tax deductible.)

Please make your check payable to NOTICe and fill out the form below. Mail to:
NOTICe
PO Box 25571
Alexandria, VA 22313

Name: ____________________________

Email Address: __________________________

Home Address: ____________________________

Home Owner's Assn.: ________________________

Home Telephone Number: ______________________________

Work Telephone Number: ______________________________ FAX: ___________________
Thank you for renewing your NOTICe membership.

Check out our new website design at www.notice-alexandria.org
and learn about your community's latest efforts regarding the Mirant power plant.

Ann Kaupp Roger Waud
Membership Secretary President
(703) 836-3779 (703) 838-7603