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Carney Improvement Association, Inc.
P.O. Box 28282
Carney, Maryland 21234-8282
410-668-5183
www.carneymaryland.org
A Maryland Non-Profit Organization
Membership Application
Please complete this form and return to the above address with yearly dues:
$10 Individual; $15 Couple; $20 Business
Full Name(s):
____________________________________________________________________________
________________________________________________________________________ ____
Business Name (Business Membership Only): ____________________________________________ ______
Address:
________________________________________________________________________ ____
City, State, Zip: ________________________________________
Phone: _____________________ _
Email Address: ___________________________________________________________________________
Name of Development or Community in which you live: _________________________________________ __
How would you prefer to receive the CIA Newsletter? Mail
Email
Primary Concerns:
Crime
Zoning
Traffic
Schools
Taxes
Other
__________________________________________________________
Dues are not tax deductible.
You must be a paying member and have attended two meetings prior to voting on issues.
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