Membership Application Please complete this application for 2021 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?* Your Home* Select 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. NameThis field is for validation purposes and should be left unchanged.