CVIA Membership Form

Please Note:  By clicking "Submit" at the bottom of the page you will be taken to PayPal.com for payment of your $25.00 1 year CVIA memership.  Membership supports the efforts of CVIA's neighborhood initiatives and concerns, and includes the informative quarterly CVIA newsletter.  If you prefer to pay by check, please fill out the form, print the page, and mail the form along with your check made out to CVIA to P.O. Box 170611, San Francisco, CA, 94117.

Name: *
Membership Status:
E-mail: *
Phone number:
-
Address: *
What I like & dislike about the neighborhood:
I would like to help, and this is what I can do:
Amount:
 $  . 
Clean Cole Donation (Optional):
 $  .