Consent Formfor Membership in the Multnomah Neighborhood Association Name * First Name Last Name Category of Membership Eligibility * Resident Property Owner Business Owner Employee Address * Residence, property, or business in Multnomah neighborhood -- for eligibility as member Address 1 Address 2 City State/Province Zip/Postal Code Country 16 or more years old ? * Yes No Email * Mobile Phone or Text Number (###) ### #### Preferred Method of Contact Mobile Phone or Text Email Other If other contact, what is it? Neighborhood Issues Choose Two (2) Accessibility Communication and Outreach Community Events Emergency Preparedness Equity Finance and Fundraising Governance and Membership Housing and Homelessness Land Use and Development Litter Clean-Up Parks Public Safety Schools Streets and Transportation Watershed and Environment Other issues, comments, questions, or concerns: Thank you for consenting to become a member. Once we have verified your eligibility, come to a meeting and declare your intent. A week after that, your membership will become active,
