Thank you for your decision to join the MPNA! To ensure that we are best able to represent your needs, can you please complete the following and mail back to the MPNA.

Any information you would prefer not to provide, please leave blank. Note that your privacy is important to us, the MPNA will not provide this data to any other sources:

MEMBERSHIP REQUESTS: Name: Address: One Year Dues: $ 30.00 Additional Donation: Total:
Phone Number: Email Address:
Residence (check one): ¨ Condo ¨ House ¨ Apartment ¨ Investment Property	Condos Only: Association Name: President or Manager: Contact Information (phone, address, etc.):
Your Issues and Concerns:

Annual Membership Fee: $30.00 PER PERSON(additional donations welcome)

Make Check Payable to: Marina Peninsula Neighborhood Association, Inc.

Mail to: P.O Box 513, Venice, CA 90294

Membership fee is good for one year and entitles you to one vote on matters put to vote. Membership is not transferable to other individuals or organizations, even if those individuals or entities purchase the interest of your property. Membership in the MPNA does not entitle you to membership in any other organization with a similar name. Membership does not entitle member to represent the organization in any way with out prior consent of the board members. You must be at least 18 years of age to join.

www.marinapeninsula.org