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Membership Form

Name/Organization:

Address:

Telephone #: Fax #:

Email Address:

Resident ($10.00) Business ($25.00)

Would you like to serve on the Board? YES NO

Do you know anyone else who would like to be a member of our association?
If, so please provide thier contact information in the box below.


Please mail your checks for membership to:

Your Neighbors Uptown
PO Box 5303
Richmond, VA 23220