PBO Membership Form

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ONLINE MEMBERSHIP FORM

Everyone who lives or owns a business in Point Breeze can have a positive impact on our community.
Becoming a member of the PBO:
--Keeps you informed
--Gives you a voice in our activities and important neighborhood decisions
--Increases the chance that public officials will respond to our concerns
--Improves the quality of life in our neighborhood

The PBO does not charge membership dues, and you do not need to be a member to attend meetings or events.

Resident Name #1 (age 18+) *

First

Last

Resident Name #2 (age 18+) *

First

Last

Additional person residing at same address

Business Name (located in Point Breeze) *

First

Last

Business Owner's Name *

First

Last

* Indicates required field

Email *

Email #2 *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

I'd like to join the PBO email list: *

Yes No

I'd like to volunteer for these events: *

Community Meeting Planning Neighborhood Yard Sale Bonfire Porch Crawl Marathon Cheer Station Light Up Point Breeze "Adults-only" event, e.g., wine & cheese Coffee with Council Other (please specify in Comment box below)

I'd like to offer my skills for: *

Board membership General PBO support, e.g., fundraising, finance, minor legal advice, marketing/promotions, graphic design (please specify in Comment box below)

Comment *

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