Russian Hill Neighbors

Russian Hill Neighbors Membership Form

To pay online via PayPal, click here

To apply for membership, print this form, fill it in and
send your check for membership fee to:
Russian Hill Neighbors
1819 Polk Street, #221
San Francisco, CA 94109

Join Russian Hill Neighbors Today!

Are you interested in volunteering on any of the following committee(s)? If so, please indicate with one or more checks. (Committee descriptions can be found on the webpage at www.rhn.org under committees)

__ Transportation
__ Design, Zoning, and Land Use
__ Fundraising

__ Social (dinners, walks, get togethers)
__ History
__ RHN Web Site

__ Membership (recruitment)
__ Communications
__ Safety

Name #1 __________________________________ Name #2 ______________________________________

Address __________________________________ City __________________ Zip Code _____________

Home Phone _______________________________ Work Phone ____________________________________

E-mail #1 __________________________________ E-mail #2 ______________________________________

Enclosed is my tax deductible membership dues of:

__ $25 Seniors (65+) __ $30 Individual __ $40 Household (two or more people) __ $50 Merchant

Additional tax deductible donation: General Fund $______ Fay Park $______ Helen Wills Park $______

Broadway Tunnel Project $______ Sterling Park $______ Ina Coolbrith Park $______

Memberships expire December 31 each year. However, if you joined RHN as a new member after September 1 your membership is paid through the end of the following year. Thank you for your continued support!

Please make checks payable to “Russian Hill Neighbors.”
Federal Tax Id #94-2751092

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