Membership ApplicationNote:  All information is confidential and is not shared with anyone or any organizationother than the CHEA Board.  Items with an (*) are required for membership. ( All other items are optional)

Welcome to the College Heights Estates Association!  For those who are renewing, thank you!  For those who are new members, welcome!

We would appreciate a membership form from existing members so that CHEA records can be updated.

For your convience, just type the information on  the line, click the send button below and your application will be sent to CHEA. You will receive and email confirming receipt of your application. If this dosen't work, please copy the form and mail it to CHEA,  3904 Calverton Drive, Hyattsville, MD  20782.

Name*:  

Spouse/Partner Name: 

Address*: 

City/State   (if other than Hyattsville, MD 20782):

Email*:

Home Phone*:

Work Phone*:

Cell Phone:

Note: Phone numbers can be very important if there is an urgent situation in the neighborhood or with your home.  We urge you to share this same information with a nearby neighbor.

Children living at home and ages:

Other family members living in your home:

Are you interested in serving the community as a CHEA Board Member? Yes

Are you interested in serving the community as a committee member? Yes            If so, what is your area of interest?

Membership dues are $25.00 per calendar year.  These dues are the primary source of funds for CHEA activities.

Please make dues check payable to College Heights Estates Association and send it to our treasurer,  Don Hein, 4109 Clagett Road,  Hyattsville, Maryland  20782.     

College Heights Estates Association

MEMBERSHIP APPLICATION (Renewal and New)

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