Membership Application Please complete this application for HPNA membership, or download and submit this paper version. First & Last Names of Adults Living in Household*Email* Phone*What year did you move into Highland Park?*This field is hidden when viewing the formYour Home*Select your Home*Select your Home*Honorary1000 Pontiac Avenue1000 Wea Avenue1001 Pontiac Avenue1002 Highland Avenue1005 Highland Avenue1005 Pontiac Avenue1007 Pontiac Avenue1008 Highland Avenue1010 Highland Avenue1012 South 9th Street1015 Pontiac Avenue1016 Highland Avenue1016 South 9th Street1020 Highland Avenue1021 Highland Avenue1024 Highland Avenue1025 Highland Avenue1028 Highland Avenue1032 Highland Avenue1212 Wea Avenue1213 Wea Avenue516 Owen Street519 Central Avenue519 Owen Street521 Kossuth Street527 Kossuth Street535 Kossuth Street600 Wyandotte Avenue602 Cherokee Street602 Owen Street603 Central Avenue603 Kossuth Street603 Wyandotte Avenue604 Central Avenue604 Wyandotte Avenue606 Kossuth Street606 Wyandotte Avenue608 Owen Street608 Wyandotte Avenue609 Wyandotte Avenue611 Central Avenue612 Central Avenue612 Cherokee Street612 Owen Street612 Wyandotte Avenue614 Central Avenue615 Central Avenue615 Kossuth Street615 Owen Street619 Kossuth Street620 Central Avenue621 Central Avenue621 Owen Street624 Cherokee Street624 Owen Street625 Kossuth Street627 Central Avenue627 Owen Street628 Owen Street630 Central Avenue632 Owen Street633 Central Avenue633 Kossuth Street633 Owen Street695 Cherokee Avenue701 Kossuth Street701 Wyandotte Avenue702 Central Avenue702 Owen Street703 Central Avenue703 Owen Street703 Shawnee Avenue705 Highland Avenue706 Highland Avenue706 Shawnee Avenue706 Wyandotte Avenue707 Highland Avenue707 Owen Street708 Cherokee Street708 Owen Street708 Shawnee Avenue709 Cherokee Avenue709 Kossuth Street710 Wyandotte Avenue712 Central Avenue712 Cherokee Street713 Kossuth Street713 Owen Street714 Owen Street715 Central Avenue715 Miami Street718 Owen Street719 Owen Street720 Central Avenue720 Owen Street720 South 9th Street721 Central Avenue722 Highland Avenue725 Central Avenue725 Highland Avenue725 Owen Street726 Owen Street726 South 9th Street728 Cherokee Street730 Cherokee Street730 Owen Street731 Owen Street734 Owen Street735 Owen Street739 Owen Street740 Owen Street743 Owen Street744 Cherokee Street801 Shawnee Avenue802 South 9th Street803 Highland Avenue Apt #1803 Highland Avenue Apt #2803 Highland Avenue Apt #3803 Highland Avenue Apt #4803 Shawnee Avenue803-805 Central Avenue804 Highland Avenue804 Shawnee Avenue806 South 9th Street807 Central Avenue807 Highland Avenue807 Shawnee Avenue808 Central Avenue808 Highland Avenue810 Shawnee Avenue811 Shawnee Avenue812 South 9th Street814 Highland Avenue814 Shawnee Avenue815 Highland Avenue815 Shawnee Avenue816 South 9th Street819 Central Avenue820 Shawnee Avenue820 South 9th Street824 Shawnee Avenue825 Shawnee Avenue828 Shawnee Avenue830 Shawnee Avenue834 Shawnee Avenue835 Highland Avenue836 Shawnee Avenue845 Shawnee Avenue846 Shawnee Avenue850 Shawnee Avenue851 Shawnee Avenue854 Shawnee Avenue857 Shawnee Avenue858 Shawnee Avenue862 Shawnee Avenue863 Shawnee Avenue867 Shawnee Avenue871 Shawnee Avenue900 South 9th Street902 South 9th Street904 Highland Avenue905 Pontiac Avenue906 Highland Avenue910 Highland Avenue910 South 9th Street911 Pontiac Avenue913 Pontiac Avenue914 Highland Avenue914 South 9th Street915 Pontiac Avenue918 Highland Avenue918 South 9th Street921 Pontiac Avenue922 Highland Avenue922 South 9th Street923 Highland Avenue927 Highland Avenue930 Highland AvenueSelect Payment Method*Check / CashPayPalPayPal Payment Price: Offer additional donation to support HPNA initiatives? Total $0.00 Please mail a check for $30 (payable to HPNA) to: Susan Bradford, HPNA Treasurer 720 Central Avenue Lafayette, IN 47905 HPNA publishes printed directories for members and enables current members to log into the website to view the directory online. You may choose to opt out of either or both. Please DO NOT include my household in the PRINTED directory. Please DO NOT include my household in the ONLINE directory. PhoneThis field is for validation purposes and should be left unchanged. Δ