DATE:
NAME LAST:, FIRST:,
COMPANY:
ADDRESS:
CITY: ST: ZIP:
PHONE HOME: WORK PHONE: CELL PHONE:

How and/or what name do you want to appear on your membership card:

ADDITIONAL CARD(S): INITIALS:

I agree that the above named person is the owner or manager of one or more rental units:

This information is held in confidence. Only available to the officers. Some phone numbers are given to a phone committee member for the association calls only.

I understand that the information received at any of the meetings or in the Newsletter is to be used as a guide and that legal or professional advice may be required in some cases. I agree not to hold responsible any officer, member or guest of the Tri-County Landlord Assoc. for any action I take based on the information I receive.

Signature:________________________________

You may fill-in the form and print the application, then mail to the Tri-County Landlord Association. Your membership will not be activated till you come to a meeting.. Once you print the form, sign and mail it to the office: Tri-County Landlord Association., P.O. Box 757, Cabot, AR 72023, along with a check or money order for the amount of $50.00. (made payable to Tri-County Landlord Assoc.) If you would like for us to mail you your receipt and membership card, please provide a SASE. (Self addressed Stamped Envelope) or you may pick them up at the next meeting.

Please Fill in the blanks and print this page. Mail to: Tri-County Landlord Association., P.O. Box 757, Cabot, AR 72023, along with a check for the membership dues.

Print me!