Please print, fill out and mail this membership form as soon as possible. We will be updating our mailing list so that it accurately reflects your name and address. Make checks payable to "Old Cloverdale Assn." and mail to:

Old Cloverdale Association PO Box 6153 Montgomery, AL 36106

Name: __________________________________________________ Address: __________________________________________________ __________________________________________________ Telephone: __________________________________________________ E-mail: __________________________________________________     Membership Category (check one)   Home Owner/Business $25          Renter $15          Non-Resident $20