NYRA Berkeley Homepage :: Full Membership

Full Membership Application

Please fill out membership form completely. The "Password" is a secret password you chose so that you can log into the blog and vote online. It IS case sensitive.

General Information
Name^*	E-mail^*

Phone Number #1^*	Phone number #2

Home Address
	(street and house number)
	(city and state)
	(zip code)^*
NYRA Berkeley Info
Password:^*

^* : required

As soon as your application is reviewed, you will receive an e-mail from an executive. They will introduce themselves, call you by name and ask that you reply with some details about your involvement with youth rights orgs or hopes to get involved with youth rights orgs.

IF YOU DO NOT RESPOND, YOUR APP WILL BE THROWN AWAY.

The reason for this is that we want people who are truly dedicated to the cause, and sending an e-mail takes very little time.

After you're application is accepted, you will receive a second e-mail (or possibly a phone call) from an executive congratulating you and giving you details on the benefits of membership.

Remember, if you take this application seriously and you live in the greater Berkeley area, there is a VERY SMALL chance you will be denied. Reasons for denial include: failure to fill out form completely or an unresponsive e-mail.

[Warning: Harrassement and abuse of this form will be prosecuted to the fullest extent of the law]