Form

Please Select Your Payment Method *

Method of Payment at MVA Booth or Event *

Date When Membership Dues Were Paid at MVA Booth or Event *

Date

IMPORTANT: YOUR MEMBERSHIP REGISTRATION IS NOT COMPLETE UNTIL YOUR PAYMENT IS RECEIVED IN FULL. ALL CHECKS MUST BE RECEIVED BY THE MERION VILLAGE ASSOCIATION BEFORE ANY MEMBERSHIP BENEFITS WILL BE PROVIDED. CHECKS MAY NOT BE POST-DATED. Please make checks payable to the Merion Village Association and mail the same to the MVA at 1330 S. Fourth St., Columbus, OH 43206

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Select the Type of Annual Membership You'd Like to Purchase *

Membership Options *

Senior Membership (1 Individual Age 60 or Over) $ 10

Number of Years to Purchase Today

Individual Membership (1 Individual Ages 18-59) $ 15

Number of Years to Purchase Today

Household Membership (2 Individuals Age 18 and Over in the Same Residence) $ 25

Number of Years to Purchase Today

Total $ 0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Primary Member Name *

First Name Last Name

Second Member Name *

First Name Last Name

Membership Address *

Street Address
Street Address Line 2
City	State
Zip Code	Country

Primary Member E-Mail Address *

Primary Member Phone Number *

Second Member E-Mail Address *

Second Member Phone Number *

Which of the Following Areas Are You Interested in Volunteering and/or Becoming Involved? *

Events (Day of) Events (Planning) Neighborhood Cleanups Neighborhood Parks Neighborhood Schools Outreach Social Outings / Meetups NONE AT THIS TIME

Are You Interested in Joining Any of the MVA Committees? (Choose All That Apply) *

Block Watch Beautification and Zoning Committee Business Development Committee Education Committee Social and Membership Committee NONE AT THIS TIME

How Did You Learn About the Merion Village Association? (Choose All That Apply) *

I'm a Current / Past Member E-Mail Advertisement Facebook Post Instagram Post Merion Village Festival Nextdoor Application / Website Paper Advertisement or Flyer Word of Mouth

Membership in the Association is maintained on a calendar year basis from January 1st through December 31st. Members who register on or after October 1st will maintain membership through the following year. Memberships purchased prior to October 1st will end at the end of the calendar year in which dues were paid. The deadline for renewal is December 31st. A Member who fails to renew by December 31st loses voting privileges but is entitled to a grace period from January 1st through the last day of February, during which time the Member may renew the membership and pay all dues to immediately regain voting privileges. If a Member fails to renew prior to the last day of February, that Member shall thereafter be considered a new applicant and shall be subject to the twenty-one (21) day waiting period for obtaining voting privileges in accordance with Article IV(D)(6). Membership registration is not complete until all dues are received by the Merion Village Association. Your completed application and membership dues may be mailed or delivered to the Merion Village Information Center at 1330 S. Fourth Street, Columbus, OH 43207. All checks should be made payable to “The Merion Village Association”. Registration may also be completed at any MVA event or online through our website, at www.MerionVillage.org. Merion Village Association members who reside within the boundaries of Merion Village will receive voting privileges, entitling the member to cast a single vote on issues presented at monthly meetings or during special circumstances. Members must be present at the meeting to cast a vote. Voting privileges are not active until twenty-one (21) days after the date of membership registration. *

I understand the terms above.