APPLICATION FOR MEMBERSHIP IN CANA FOR THE YEAR 2008

NAME OF ORGANIZATION                                                                                               

MAILING ADDRESS                                                                                                

DOES YOUR ORGANIZATION SUBSCRIBE TO THE GENERAL PURPOSES OF CANA ?

( CANA BY LAWS: ARTICLE II)  YES                       NO                  

The following is minimum criteria for neighborhood association applicants only:

1. Is your membership open to all adults who reside within a certain geographic boundaries?                 YES                         NO          .
2. Have you held at least two (2) public meetings within this past year (September through August)?                   YES                         NO                 .
3. Have the officers in your organization been elected by the membership within the past two (2) years?              YES                         NO                 .
4. Does your group represent a contiguous geographic area, primarily residential in nature?                   YES                         NO          .

NAMES, ADDRESSES, AND PHONE NUMBERS OF YOUR DELEGATES: e-mail addresses too if available.

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NAMES, ADDRESSES, AND PHONE NUMBERS OF YOUR ALTERNATES: e-mail addresses too if available.

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NAME, ADDRESS AND PHONE NUMBER OF YOUR PRESIDENT (e-mail address too if available).

IF YOUR ASSOCIATION HAS RECENTLY FORMED, PLEASE DESCRIBE ITS BOUNDARIES ON THE BACK OF THIS FORM.

Please send this form and your annual membership fee ($25) payable to CANA to Howard Stoller, 130 Melrose Avenue , Albany , NY 12203 by January 31, 2008 .