Good Neighbors of TI/YBI - Membership Form

By becoming a member of "Good Neighbors" you will be able to vote on the by-laws and other issues that will
require a general membership vote. It is important that you read the on-line brochure amd bu-laws before signing up.

Membership Type

		Individual - Any adult 18 or over that lives on one of the two islands may join as a voting member
		Agency, Service Provider, Business - Please provide agency name in the note field

If joining as an Agency, Service Provider, or Business, are you located on Treasure Island or
Yerba Buena Island?

		Yes
		No (please note, that if you are "interested outside party", membership is contingent upon approval)

Name

Address

City

Zip Code

Phone Number

E-mail Address

Do you prefer to receive notifications by:
(Note that at present we have no outside funding. We will attempt to send regular mail as we are able to)

		E-mail
		Regular Mail

Are you interested in either starting or joining a Neighborhood Watch?

		Yes
		No

Are you interested in working on Disaster Preparedness (such as NERT - Neighborhood Emergency Response Team), etc.

		Yes
		No

Notes/Comments

By checking this box, you agree to abide by the concepts and structure of Good Neighbors as outlined in the Good Neighbors brochure and by-laws. *

If you have any questions or concerns, please contact Good Neighbors by e-mailing good_neighbors@comcast.net or
call (415) 520-6653

* = Input is required