Mar Vista Neighborhood Association

MEMBERSHIP FORM

Print and fill out this page, and send it, along with a $20 check made out to MVNA, to: 

MVNA
c/o Susan Black-Feinstein
11615 Francis Place
Los Angeles, CA 90066

NEW MEMBER: _______           RENEWAL: _________

NAME (S)________________________________________________

ADDRESS _______________________________________________

HOME PHONE: ___________________________________________

WORK PHONE: ___________________________________________

E-MAIL __________________________________________________

2ND E-MAIL ______________________________________________

AREAS OF INTEREST/CONCERN:___________________________

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