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Ventura Village 2021 Membership Form
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Member Category
*
Resident
Property Owner
Representative/ Designee for an organization or business
Other:
Required
Name (feel free to share what you want to be called and your pronouns along with the name that your mail should be addressed to)
*
Your answer
Organization if Applicable
Your answer
Address
*
Your answer
How do you want to receive mailings?
*
E-mail
Postal Mail
Required
email address
Your answer
As Required by our by-laws please type your name affirming under penalty of perjury that you have provided your legal name and current address and you qualify for membership.
*
Your answer
phone number
Your answer
Interests
Wellness and Gardening
Community Engagement
Crime and Safety
Housing and Land
Parks
Other:
To be filled by Ventura Village
Resident Member provided required documentation
Non-Resident Member provided required documentation
Resident Member used another Member to vouch for them. Name of Vouching Member:
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