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Thank You and Welcome!
************************************************************************ Representative : __________________________________________
Join TODAY
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Please Print Page, Fill Out Completely and Mail with Payment to:
HANNA-Member Services, 111 Ben Weeks Rd, Suite A, Lufkin, TX 75901
Title : __________________________________________
Housing Agency : __________________________________________
__________________________________________
Address : __________________________________________
__________________________________________
City : __________________________________________
State : __________________ Zip :__________________
HA ID# : __________________________________________
Telephone : ( )____________________________________
Fax : ( )____________________________________
E-Mail : __________________________________________
Web Page Address : __________________________________________
Note: If you list an address we will post it for you on our HA site page
ANNUAL MEMBERSHIP RATES : (Check One) Total Unit Count:
Unit Size Regular #of Public Housing:____________
Users Sec 8 - all types:____________
1 - 50 $ 90_____ 1 All Others:____________
51 - 100 $ 190_____ 2 Total:____________
101 - 200 $ 300_____ 3
201 - 300 $ 480_____ 3
301 - 400 $ 660_____ 4
401 - 500 $ 840_____ 5
501 - 750 $ 950_____ 5 Additional Users Needed:
751 - 1000 $1150_____ 6
1001 - 3000 $1300_____ 7
3001 - 5000 $1400_____ 8 How Many:____________
5001 - 7500 $1500_____ 8
7501 - 10000 $1650_____ 9
10001 - 15000 $1750_____ 9
15001 - 20000 $1850_____ 10
20001 - plus $1950_____ 10
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Thank You and Welcome!