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.
Name *
Address
Telephone
Email *
Neighborhood *
Neighborhood Association Name *
Neighborhood Interests
Please check appropriate box for dues *
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!
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