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Larry Volland, President email@example.com
Daniel Haire, Board Member firstname.lastname@example.org
Supporting Membership Form
Supporting a Community-Wide Vision
Street Address: ____________________________________________________________________
Zip:_______________________ Home Phone:_______________________
$15.00 Seniors (62 and older) ____ $20.00 Family/Business ____ Check #_________
Make your check payable to: SWCA
Mailing Address: 11012 Canyon Road E, Suite 8-153 Puyallup, WA 98373
Membership is valid for 1 (one) year.
The Summit Waller Community Association – Board of Directors
Meet: the 1st Tuesday monthly, 7pm to 9pm at the
Mid-County Community Center
10205 – 44th Ave. East (off of 104th St. East behind Central Avenue Elementary School.)
SWCA Members and the general public are always welcome to attend.