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Please return this to: SF Patrol Special Police Officer, Program Operations,
P.O. Box 31275, San Francisco, CA 94131
You may also email it to:
GPsafetyprogram@gmail.com or mail or drop it
off at: GPPSP, 2912 Diamond Street, Ste. 239, San
Francisco, CA 94131
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Subscription: ____ I want to join the Private
Patrol Special Police program. I wish to pay per month:
_____ $ 25 per month
_____ $ 35 per month
_____ $ 50 per month
_____ $ 75 per month
_____ $100 per month
_____ $125 per month
_____ $150 per month
_____ $175 per month
_____
$200 per
month
_____ Other, please specify amount: ___________________________
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Steering Committee: ____ I am interested in serving on
the Provisional Steering Committee.
I can best meet:
____ Week days
____ Week nights
____ Weekend days
____ Weekend nights
I am not available: ___________________________
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Questions, comments, and other safety priorities and concerns you have:
_____________________________________________________________________
_____________________________________________________________________
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Contact Information: (please include email so that we may more rapidly communicate with you; we will not overuse it!)
Name: ________________________________________________
Phone home: __________________________________________
Email: _______________________________________________
Phone business: _______________________________________
Address: _____________________________________________________________________
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Volunteer service:
I am willing to contribute some time and effort on this and other
safety-related projects such as raising 'seed' funds for administration
of our program, printing, distribution, liaison with subscribers,
marketing, and other. Please specify what skills, abilities, and
help you can contribute and on what days might you be available?:
DAYS/EVENINGS AVAILABLE DURING WEEK: _____________________________________________________________________
WHAT I CAN CONTRIBUTE: _____________________________________
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