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Items with an * are required.
Type of Registration*
First Name*
Last Name*
Title
Address
 
City
State
ZIP
Phone
Cell
Fax
Email*


Do you live in the South End Neighborhood?
   

If yes, are you a:
   

How do you describe yourself?
   

Do you work at or own a business in the neighborhood?
   

Company
Address
 
City
State
ZIP


Would your business be willing to serve as a corporate sponsor at neighborhood events or advertise in association mailings?
   

By submitting your information, you acknowledge:
  • I/We voluntarily join the South End Neighborhood Association (the "Association")
  • I/We agree to comply with the bylaws of the Association.
  • I/We agree to hold harmless the elected or appointed officers, directors or other members of this Association from any claims resulting from decisions made or activities carried on in connection with the conduct of official business of the Association.
  • Information collected on this form is used for communication purposes between you and the South End Neighborhood Association.
  • Demographic information may be used by the Association to better represent and determine the needs of residents and businesses.
  • Membership is currently free; however, monetary donations to the South End Neighborhood Association are appreciated and can be made through our website.
  • I grant to the Association, the right to take photographs of me and my family in connection with the above-identified event. I authorize the Association, its assigns and transferees to copyright, use and publish the same in print and/or electronically.
  • I agree that the Association may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.


Please check all that apply:
I'd like to be a member, but I don't have time to volunteer.
I'd like to be a member and help out occasionally.
I'd like to be a member and be an officer if/when a position is available.
I'd like to be a member and on a committee.

I would like to sign up for the South End Neighborhood Association email

Please enter the code below before submitting the form.*