<p> River Station Community Association, Inc. PMB 108 6050 Peachtree Parkway, Suite 240 Norcross, Georgia, 30092-3337</p><p>Application for Membership and Neighborhood Directory Information</p><p>( ) I DO wish to become a FULL member of the River Station Community Association, Inc. and agree to abide by the Club Rules and Bylaws which are incorporated herein and made a part of this agreement by agreement by reference. Attached is my check, made payable to “RSCA”, in the amount of $______which includes $______for initiation fees and $______for pro-rated current year dues.</p><p>( ) I DO NOT wish to become a member of the River Station Community Association. at this time, however, please list my family names and phone number(s) in the River Station directory.</p><p>______Name Employer/Occupation Work Phone</p><p>______Spouse Name Employer/Occupation Work Phone</p><p>______River Station Street Address Home Phone Children’s Phone</p><p>______Current Address & Phone (if different from above) Email Address</p><p>I plan to occupy my River Station home on (date)______( ) Own ( ) Rent** ** Special rules apply to families renting homes in River Station. Please talk to a Board Member.</p><p>Other family members residing with you in River Station:</p><p>______Name/Relationship Birth date Special Interests</p><p>______Name/Relationship Birth date Special Interests</p><p>______Name/Relationship Birth date Special Interests</p><p>______Name/Relationship Birth date Special Interests</p><p>(Special interests include baby sitting, lawn care, pet care, house sitting, etc.)</p><p>The Club is managed by a volunteer organization selected from the membership. Please indicate your interest below:</p><p>( ) Board of Directors ( ) Front Entrance Committee ( ) Tennis Committee ( ) Newsletter ( ) Block Captain ( ) Swim Team Committee ( ) Pool Committee ( ) Social Committee ( ) Membership Committee ( ) Grounds Committee</p><p>Signature______Date______</p><p>Please mail this form and check to the Club mail box or give to a current Board Member.</p>
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