Merion Village Association Membership Registration Form

Select Your Payment Method *

Cash Check Credit Card

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

Select Your Membership Type

SENIOR: 1 Person Age 60 or Over / $10 INDIVIDUAL: 1 Person Ages 18-59 / $15 HOUSEHOLD: 2 People from 1 Household Ages 18+ / $25

Membership Options *

SENIOR: 1 Person Age 60 or Over $ 10

Number of Years to Purchase Today

INDIVIDUAL: 1 Person Ages 18-59 $ 15

Number of Years to Purchase Today

HOUSEHOLD: 2 People from 1 Household Ages 18+ $ 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 *

Confirmation Email

Primary Member Phone Number *

Second Member E-Mail Address *

Confirmation Email

Second Member Phone Number *

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.