Brentwood Neighborhood Association Pay Pal Donation Confirmation

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Please fill out the following information if you are using Pay Pal as your method of payment. This data is for internal use and will not be shared with others.

Name: *

Street Address:

(not required, but appreciated)

Membership Status *

Select One Option

Active Membership

Lapsed Membership

Never Member

Required

Donation Designation

Please tell us what project you would like your donation to go towards, if desired.

Are you willing to become involved in the Arroyo Seco Project

Yes

What are your most important concerns?

Phone Number: *

Email: *

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