Tuesday, September 26, 2017

Membership, Committee, and Resident Directory Preference Form

Use this form to join/renew MPHD and/or indicate your 2013-2014 committee preferences. To allow us to keep track of committee preferences and e-mail addresses, please complete one form per adult resident.

Type of Member

Make one check out per household to Margaret Place Historical District and mail (or drop through the mail slot) c/o MKH, 120 Dr. Michael DeBakey Drive, Lake Charles, LA 70601.

First Name(*)
Please type your full name.

Last Name(*)
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E-mail(s)
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Preferred phone numbers
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Above, please indicate if cell phone. Example: c)123-4567

Resident Directory Questions(*)
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Sponsor Info
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Names and/or logos will be included on the resident directory and the resident directory page on the website. Send logo and/or name info to margaretplace1912@gmail.com.

Margaret Place Address
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Above, list the address of property owned in Margaret Place. If you live outside the district, or prefer a different mailing address, indicate below.

Mailing Address
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Indicate committee(s) preference.
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To indicate multiple committees, press and hold the Control button and click on the applicable selections.

Chair Preference?
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Comments, Suggestions, Concerns
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Anti Spam
Anti Spam
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