USNC Membership Form

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Please fill out each of the required fields below, and click submit. If eligible, you will be added to the Union Square Neighborhood Council voting membership; otherwise, you are welcome to participate as a non-member. Your email address will be placed on the mailing list so that we can keep you informed of upcoming open board meetings, crucial votes, and other opportunities for engagement.

Full Name *

Home Address *

Email *

Phone number

While you may participate as a non-member, to be a member of the USNC, you must have lived, worked, owned property, or owned a business in Union Square at any point within the last 12 months (see official bounds below). Please check all that apply: *

I live in Union Square

I work in Union Square

I own a business in Union Square

I own other property in Union Square

I would like to participate as a non-member

Required

Union Square Neighborhood Boundaries

If you work at or own a business in Union Square, what is it called?

If you work at or own a business in Union Square, what is its address?

If you own property in Union Square, what is its address?

If you would like to sign up as a member, please affirm your eligibility (write your name as an electronic signature):

Today's date: *

YYYY

Would you be interested in helping with Outreach?

Yes

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