Membership Application
The Fed membership fiscal year is January - December
Membership benefits include voting rights, submission of agenda items and application for Federation neighborhood grants.
* Required
Name
*
Your answer
Address
Your answer
Telephone
Your answer
Email
*
Your answer
Neighborhood
*
Your answer
Neighborhood Association Name
*
Your answer
Neighborhood Interests
Start an neighborhood association
Emergency preparedness
Events
City Planning
City/Neighborhoods meetings
Traffic/streets
Safety/Police/Fire
Natural amenities (creeks, paths, open spaces)
Attend Steering Committee meetings
Other:
Please check appropriate box for dues
*
$10 Annual dues for individual members
$25 Annual dues for neighborhood organizations or civic groups
PLEASE FILL OUT FORM • MAKE CHECK PAYABLE TO FSRN • SEND TO: FSRN PO BOX 151485 SAN RAFAEL, CA 94915-1485
https://www.fedsrn.org/
For membership application information, please contact Kevin Hagerty, Treasurer
federationofsanrafael@gmail.com
THANK YOU!
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
