<% mytitle="Miamiville Civic Association - Join" %> <% q=chr(34) rem get companyname sql = "SELECT * from company" set rs = Conn.Execute(sql) if rs.eof = 0 then companyname = rs("companyname") companyid = rs("companyid") else conn.close set conn=nothing set msg=nothing response.write "Can't find companyname in database" response.end end if conn.close set conn=nothing set rs=nothing uemail = request.cookies(companyid & "_email") & "" upassword = request.cookies(companyid & "_password") & "" %> <%=mytitle%>
 Miamiville Civic Association
  PO Box 176, Miamiville, OH 45147

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Join the MCA

Join the Miamiville Civic Association

To join the MCA, please fill out this form and mail a check for $5 membership dues.
We are also asking for 'Legal Fund' donations to oppose the building of the
Miamiville Sewer Plant. Any additional funds you wish to donate will be appreciated.

Mail to:

Miamiville Civic Association
PO Box 176
Miamiville, Ohio 45147

Name: *
Street Address: *
Address 2
(include PO Box if you have one)
City: *
State: *
Zip: *
Home Phone:
Work Phone
Email Address:
Type of Work you do:
Interests:
Check Amount (minimum $5.00): *
Required Fields *

Print copies of this form and ask your neighbors and friends to join.