BPHA & CONSTABLE PATROL MEMBERSHIP
- PAY BY CHECK -
BPHA Membership Dues: July 1 - June 30
Everyone's participation is critical for these valuable projects and services to continue.

Please complete the form below:

Full Name: * 

Street Number: * 

 

Street Name: * 

Your Account Number: 

 

Located on your BPHA statement. (not required)


In area since:(ie: 05/1995) Own Rent
Please indicate below how you want your payment applied
    BPHA Membership       Constable Patrol Membership  
  Regular........................ $ 70 / year      $240 / year (prorated)  
  Senior Citizen............... $ 50 / year        
  Not Applicable         Constable Patrol  
    Additional Donation:  $    

$

  Additional Donation:
  
    Total BPHA Amount $  

$

Total Constable Amount  

 

Payment Options
(number of payments)

   

Combined Membership
(BPHA & Constable Patrol)

1 Payment

    

$310

2 Payments

   

$155

Total Amount to be Paid by Check:  $  
Your contact information

Full Name (1):

   

Full Name (2):

Occupation:

   

Occupation:

Phone (work):

   

Phone (work):

Phone (home):

   

Phone (home):

Cell:

   

Cell:

Email Address:

   

Email Address:


Areas of Interest (make selections below):
  Deed Restriction Renewal      July 4th Parade & Picnic     Neighborhood History
  Deed Restriction Violations     Karl Young Park     Neighborhood Security
  Drainage! Flooding     Membership     Sentinel Delivery
  Home & Garden Tour     Neighborhood Appearance     Welcoming New Residents
  Volunteer to help with the BPHA Security Committee membership drive.

Please check here if you would prefer to not have your name listed in the Sentinel,
Thank you for your support!

Other Comments or Areas of Interest
 

MAIL A CHECK AND THIS FORM TO:
Braeswood Place Homeowners Association
P.O. Box 20486 Astrodome Station Houston, TX 77225-0486

After you click "Print Page", a window will pop-up instructing you to print the form.
This will be your receipt. This completed form is also electronically submitted.