Date:______

Association/Applicant Name:

Association/Applicant Address (or P.O. Box):

Township: ______

If an Association, approximate Physical Boundaries? (Streets, intersections, relation to other landmarks)

______

Please check the appropriate response to the following questions:

Association/Applicant Description: Single Family Duplex Town Home Condominium

Tenant Individual Homeowner Applicant

Our Association is (check one) Voluntary Mandatory

For Associations, the monthly / annual member/property owner assessment (dues) are:

How many homes/units are within your Association boundaries?

How many homes/units are currently members of your Association?

How did you hear about Confederation membership? Our Website Facebook Newspaper City of Naperville NCTV Other Associations Other (please specify) ______

Does your Association have a Clubhouse Pool Tennis Courts Other Common property

Is there a separate membership fee for the pool? YesNo If yes, Fee: $

Is pool membership open to members outside your association? Yes No

Do you have a newsletter? Yes No

Does your newsletter accept paid advertising? Yes No

Does your Association have a website? Yes No

If so, what is the internet address?

Do youcurrently link your website to Yes No

Would you like a link to your website from Yes No

Would you like a Confederation speaker at a future association meeting? Yes No

Are there activities, speakers, topics, you would like NAHC to schedule during our monthly meetings?

______

______

What specific needs/requests do you have of the NAHC? (i.e. how can we best serve you?)

______

______

______

______

Please complete both sides

Services
Are there retention/detention ponds in your neighborhood? Yes No
Maintained by the Association? Yes No
Maintained by the Park District? Yes No
Maintained by Other? Yes Who? ______
We use a Property Management Company / We are Self Managed
Name of Property Management Company:
Name of Landscape Maintenance Company:
Name of Insurance Carrier:
Approximate Date of Association Annual Meeting:
Contact Information: (please attach additional sheets if needed)
Association President:
Name:
Address:
Phone: / E-Mail:
Alternate Contact 1: / Title:
Name:
Address:
Phone: / E-Mail:
Confederation Delegate::
Name:
Address:
Phone: / E-Mail:
Newsletter editor:: / Frequency of Newsletter Distribution:
Name:
Address:
Phone: / E-Mail:

Please complete both sides

Top of Form

Please mail completed application and $30annual membership fee for Associations/

$10 for Individual Member Applicants or Three Year Membership ($75 Associations/$25 Individuals) to:

Naperville Area Homeowners Confederation, Inc.

P.O. Box 5245, Naperville, IL 60567-5245