ITHA dues
INGLESIDE TERRACES HOMES ASSOCIATION
Annual Dues/Contribution

Enclosed is my/our 2012
Membership contribution of:
O Benefactor $250
O Patron $120
O Supporter $80
O Basic $40
OSpecial/Senior$__
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:
OITHA announcements-only email group, or to the
OTerraces 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?
OEmergency response in case of disaster
OGateway pillar preservation
OGraffiti/Tagging removal
OHelping elderly and disabled neighbors
with special needs
OHistorical documentation
OLocal HAM radio net
OMini-park beautification
ONewsletter publication
OPolitical/Planning/Zoning Needs
OSpecial/Social Events
OWelcome 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