HPNA Membership Form

Membership is open to all residents of the Hamilton Park area bounded by Division Street
to the west, Henderson Street to the east, Twelfth Street to the north, and Sixth Street to the south.
Membership Dues are $5 per household for one calendar year.

Cash, check, and Pay-Pal are accepted.
Make checks payable to:  Hamilton Park Neighborhood Association

There are four ways to join:

1. Dues are accepted at HPNA membership meeting held the first Wednesday of every month.
See Hamiltonpark.org for details. Bring the completed form to save time.
2. Hand deliver or mail payment and the completed Membership Form to:
HPNA c/o Sam Stoia
310 Pavonia Ave.
Jersey City, NJ 07302
3. Pay-Pal:.
Send an E-mail containing the member information below to hpnajc@gmail.com
with the subject membership - pay-pal.
4. Pay by check from your internet bank and send an E-mail containing the member information
below to hpnajc@gmail.com with the subject membership -internet bank.
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Member Information

Name: __________________________________________

Address: ________________________________________

Telephone Number: ___________________________

E-mail Address: ___________________________

New Member / Renewal

Names of household members that will vote at meetings:

______________________________

______________________________

______________________________

______________________________

______________________________
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