EDEN NEIGHBORHOOD ASSOCIATION
MEMBERSHIP FORM

Please fill out the form below and click the submit button to electronically send the form to the membership committee. The membership committee will contact you shortly after receiving your application.


* denotes a required field

Names: *
Address: *
Home Phone: *
Work Phone:
Email:
 
Please select one of the following: *
I am renewing my membership
I am a new member
 
Languages spoken other than English:
 
Technical Knowledge & Expertise:
 
I would like to help with the following Committees:
Social
Political
Membership
Traffic/Safety
Newsletter Delivery
Block Watch
Paint Out Graffiti
Emergency Preparedness
Beautification
Welcoming
ENA Board
Others
 
Membership: (October to September) $ 15.00
Additional Donations: $
Total: * $
 
General comments or suggestions:
 

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http://www.EdenNeighborhoodAssociation.org
is maintained by
webmaster @ EdenNeighborhoodAssociation.org for the
Eden Neighborhood Association
P.O. Box 9383,  San Jose,  CA 95157
ENA  Hotline: (408) 404-7404
E-mail: email @ EdenNeighborhoodAssociation.org

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Last updated: Monday, October 18, 2004 12:43 AM