(Please print, complete, and submit at the March elections meeting. Meetings are held on the 4th Monday of each month, 7pm, in the Linda Vista Library.)

MEMBERSHIP APPLICATION

COMMUNITY PLANNING GROUP
GENEREAL MEMBERSHIP APPLICATION

Name__________________________________________ Date__________
Mailing Address__________________________________ Tel.__________(office)
_______________________________________________ ______________(home)
The Linda Vista COMMUNITY PLANNING COMMITEE requires that in addition to being at least 18 years of age, one of the following qualifications be fulfilled in order to be eligible for membership. Check the one that applies (please attach evidence of qualifications under numbers).

_____ 1. Resident of the community

Residence address (if different from mailing address)

_____________________________________________________

_____________________________________________________

_____ 2. Propert owner in the community

_____ 3. Business or Professional person conducting business in the community

Business name and address (if different from mailing address)

_____________________________________________________

_____________________________________________________

_____ 4. Other __________________________________________

_____ 5. Proof of Membership Qualification (Drivers License, Business License, Utility Bill, Other)

If qualifying under numbers 2 and 3 above, state the capacity in which you will be serving during membership (owner, owner's representative, company representative, etc.):

_____________________________________________________

__________________________________________

(Signature)