Enclosed is my/our 2012 Membership contribution of: O Benefactor $250 O Patron $120 O Supporter $80 O Basic $40 O Special/Senior $__	Name:_____________________________________________ (As it should appear on mailing list) Address of Terraces home for which you are paying: __________________________________________________ San Francisco, CA Mailing address, if different from above: __________________________________________________ __________________________________________________ Phone:________________________________________­_____ email:______________________________________________
Please put your Terraces address on your check. Please print, particularly the email address Add me to the: O ITHA announcements-only email group, or to the O Terraces discussion email group (also receives announcements) O I would like to receive the Sundial Newsletter on the web at www.ithasf.org ---------------------------------------------------------------------------------------------------- You are invited to share in the betterment of our neighborhood. Will you help with any of the following activities?
O Emergency response in case of disaster O Gateway pillar preservation O Graffiti/Tagging removal O Helping elderly and disabled neighbors with special needs O Historical documentation	O Local HAM radio net O Mini-park beautification O Newsletter publication O Political/Planning/Zoning Needs O Special/Social Events O Welcome Wagon for new residents
Suggestions and Comments:_________________________________________________________ Mail Membership Form and Dues Contribution to: Ingleside Terraces Homes Association P.O. Box 27304 San Francisco, CA 94127-0304