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MEMBERSHIP APPLICATION / RENEWAL

First Name  
Last Name  
Company Name  
Title  
Mailing Address  
City/State/Zip  
Phone  
Fax  
Email  

Please indicate areas of Interest:

.
Gay and Lesbian Visibility   Advocacy and Watch dogging
.
Mediation of Planning Issues   Architecture/Urban Design
.
CAPA Governance & Administration   Educational/Historical PresentationS
.
Transportation, Traffic, and Parking   Housing
.
Economic Development   Safety
.
Neighborhood Institutions   Services

Additonal Comments:

 

 

Form of Payment 

Please print form and return with check for $15 to:

CAPA
584 Castro Street, PMB 169
San Francisco, CA 94114-2588

Thank you for your support!

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