2024 Membership Info & Payment Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.1Owner & Property Information2Contact Information3Property Occupancy – Click NEXT to Skip for Vacant Properties4Volunteering with SHPOA5Dues PaymentOwner Name *FirstLastPhysical Address in Southern Heights *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeProperty Use *Owner / Relative OccupiedRental PropertyVacant HouseVacant LotDo you own multiple properties in Southern Heights? *YesNoList additional property address(es) and indicate property useLease PeriodProperty Manager Name and Contact Information (Other than Owner-Managed)SHPOA Member Password *PasswordConfirm PasswordFor future use with Member Only portalNextDo you receive mail at your address in Southern Heights? *YesNoMailing AddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeBest Phone Number to Reach You or Leave Message *Do you or someone in your household use electronic mail? *YesNoEmail Address (one you check often)EmailConfirm EmailAdditional Email for NotificationsEmailConfirm EmailEmergency Contact Name *FirstLastEmergency Contact Phone Number *Emergency Contact EmailEmailConfirm EmailPreviousNextName of Spouse / Significant Other at PropertyFirstLastNumber of Persons in Household at SH Address Selected Value: 1 NOTE: Zero (0) indicates a vacant lot or house Additional Persons In Household – Provide Name, Relationship & AgeIndicate whether someone in this household should be a priority in emergency situations or evacuations (due to resident's health or age)Emergency Priority NeededPlease provide resident's name and known medical conditions *PreviousNextI want to join the following committee (astericks denote standing committees)ActivitiesBeautification*Block CaptainBudget & Finance*CommunicationsInfrastructureMembership*Police & Fire*Policy & Procedures*Zoning & RestrictionsPreviousNextMembership Year(s) to be Paid *20242025Payment Method *Cash, Check or Money OrderCredit Card (add 3% convenience fee)Check, Money Order or Cash Payments (check items being paid)Dues ($40 per year)DonationCredit Card Payments (check items being paid)Dues ($41.20 per year including convenience fee)DonationSubmit