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Help shape the future of St. Tammany Parish! Click for a membership application.
Membership Application
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| PLEASE PRINT ALL INFORMATION. |
| ALL APPLICANTS ARE ASKED TO FILL OUT THE TOP PORTION OF THIS FORM. |
| NAME*: _______________________________________________________ |
| ADDRESS: _____________________________________________________ |
| CITY, STATE, ZIP: _______________________________________________ |
| TELEPHONE NUMBER: ____________________________________________ |
| EMAIL ADDRESS: ______________________________________________ |
| _____ INDIVIDUAL MEMBERSHIP AT $25 |
| _____ INDIVIDUAL SUPPORTER MEMBERSHIP AT $25 |
| *One name per Individual or Supporter membership, please |
| Individual and Supporter applicants may stop here. You do not need to fill out the rest of this form. |
| ADDITIONAL INFORMATION FOR GROUP MEMBERSHIPS ONLY: | |||
| We, the duly organized members of _________________________________ | |||
| on __________________, 20_____ resolve to join Tammany Together, Inc. | |||
| Our current membership is __________ (households/persons). | |||
| A check for $ ____________ ($1 per member with a minimum of $25 and a maximum of $200) is enclosed. |
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| Primary Delegate ____________________________ | Email ___________________ | ||
| 1st Alternate Delegate ________________________ | Email ___________________ | ||
| 2nd Alternate Delegate ________________________ | Email ___________________ | ||
| All delegates are residents of St. Tammany Parish and are at least eighteen (18) years of age. Our organization meets all the requirements of Group Membership including being a resident-controlled homeowner or civic association. | |||
| _________________________ | ______________________ | ________________________ | |
| Authorized Signature | Title | Date | |
| _________________________________________________ | ________________________ | ||
| Name (Printed) | Telephone Number | ||
| Website Address: _______________________________________________________ | |||
| May we link to your web site? _____ Yes _____ No | |||
| May we list your group as a member on our website and in other materials? _____ Yes _____ No |
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| ADDITIONAL INFORMATION FOR UMBRELLA ORGANIZATIONS ONLY: | |||
| We, the duly organized members of _________________________________________, | |||
| on __________________, 20_____ resolve to join Tammany Together, Inc. | |||
| Our current membership is __________ (households/persons). | |||
| A check for $25.00 is included with this membership application. | |||
| Primary Delegate ___________________________________ | Email ____________________ | ||
| 1st Alternate Delegate _______________________________ | Email ____________________ | ||
| 2nd Alternate Delegate _______________________________ | Email ____________________ | ||
| All delegates are residents of St. Tammany Parish and are at least eighteen (18) years of age. Our organization meets all the requirements of Umbrella Organization Membership. | |||
| _________________________ | ______________________ | ________________________ | |
| Authorized Signature | Title | Date | |
| _________________________________________________ | ________________________ | ||
| Name (Printed) | Telephone Number | ||
| Website Address: _______________________________________________________ | |||
| May we link to your web site? _____ Yes _____ No | |||
| May we list your group as a member on our website and in other materials? _____ Yes _____ No |
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Tammany Together operates on a fiscal year beginning April 1st and ending March 31st. Dues are payable on April 1st of each year. Dues will not be prorated; however, any individual or group joining after January 1st will be deemed to have paid for both the remainder of the current year and the subsequent fiscal year.
Please mail your application form and check to: Tammany Together, Inc., P.O. Box 352, Mandeville, LA 70470-0352