Petaluma Tomorrow membership form

Petaluma Tomorrow Membership Form

YES, I want to join Petaluma Tomorrow! Enclosed is my membership fee:

$25 (Junior) $30 (Intermediate) $35 (Senior) $50 (Silver) $100 (Gold) $200 (Platinum)

Petaluma Tomorrow communicates with members primarily through email. Please provide one or more email address:

Email: ________________________@__________________________ Forum*

* Check the “Forum” boxes if you want to take part in Petaluma Tomorrow’s higher volume email discussion group, called the PT Community Activist Forum, where members discuss local issues of interest. There is an expectation that Forum members actively participate in PT projects and committees. In addition Petaluma Tomorrow emails a periodic newsletter and infrequent action alerts to all members who provide email addresses.

Please complete the information below to help us comply with state law:

Print Name: 1)_____________________________________________________________

Name 2 (optional): 2)_____________________________________________________________

Address _________________________________________________--___________

Home Phone _______________________ Work Phone _______________________

Occupation ________________________ Employer __________________________

How did you hear about Petaluma Tomorrow? __________________________________________

Please make checks payable to Petaluma Tomorrow.

Contributions or gifts are not tax deductible. Paid for by Petaluma Tomorrow, address below. www.petaluma-tomorrow.org • FPPC #1245542 Questions: email: chair@petaluma-tomorrow.org

Please print this form, fill it out, and mail with your check to the following addess:

Petaluma Tomorrow
c/o Bill Phillips, Treasurer
824 Blossom Court, Petaluma, CA 94952

THANK YOU!