Online Membership Form

Phone: Date:
If business membership, business name:
Business Phone: Business Web Site:
Street Address: Email Address:
State: Zip Code:
This is a: I intend to be a:
If providing active participation, my interests are primarily in the following areas:
 Beautification Crime Prevention Newsletter Voter Education Board of Directors Education Parks & Recreation Zoning Calling Environment Social Activities Youth Committees Community Center Membership Traffic
All TRNA memberships renew upon the calendar year. So your first year fee is calculated depending on the month:
 January-December $18 (1 year) July-December $9 (1/2 year)
Business: January-December $50 (1 year) July-December $25 (1/2 year)
If you would like to join for multiple years, add the following amounts to your membership dues in the table above:
Residential Additional Years: 2 years - add $16 3 years - add $30 Business Additional Years: 2 years - add $40 3 years - add $75
My total comes out to: $ If paying by check, mail with form to:
TRNA Membership
PO Box 66288
Abq., NM 87193-6288
 I am enclosing a check I am paying on paypal
We will correlate your name on the form with the Paypal payment. For further information contact Jay Dinerstein at
Please enter the characters you see in the box.
Print this page for your records or to mail with check

*Paypal: Hit “Send” button to email the above form to TRNA Membership, and proceed to paypal link, fill in your calculated total under ‘Donation Amount’, and complete payment form. Purpose: “Membership”
*Pay by Check: Print form and mail with check