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.

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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                                                       -- To Make a payment by PayPal, FILL OUT FORM, then select the PayPal Button on the Membership Page of the website:
https://www.fedsrn.org/membership---join-us.html     For membership application information, please contact Kevin Hagerty, Treasurer federationofsanrafael@gmail.com
THANK YOU!
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