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3140 Del Webb Avenue NE <br />Salem, OR 97303-4165 O ~ ~ ~ ~ ~ ~ <br />503-588-2424 Fax 588-0209 <br />E-mail:cherriots.org . ~~~~~~~~~ <br />: ~A~.~M A~~ T~~1'~ <br />PL~1NM!!~~ ~ IM,4~3K~'t'fNt~ <br />APPLICATION FOR APPOINTMENT TO THE C~I~2Y~'G0~5 <br />ELDERLY AND DISABLED CONSUMER ADVISORY COMMITTEE <br />Thank you for Your interest in Salem Area Transit! <br />CLOSiNG GATE: FRIDAY, NOVEMBER28, 1997 i1T S:Oa~M <br />(Please print or type all information) <br />DATE: <br />NAME: ~~ J~ t)_ W, ~'t e%n" <br />MAILING ADDRESS: ~ D~ I(~ ~~ N~ v e l~ ~ <br />TELEPHONE: ~7 ~ ~ - ~ ~ ~ ~ <br />OCCUPATION: (~-~cl4~C~ ~ ~U ~ ~! ~~l ~%~ <br />65 <br />Please describe your inte~ests in serving on the Elderly and Disabled Consumer <br />Advisory Committee. Wtiat would you like to see the District accomplish in <br />relation tq t~nsportation services fq~r elderly or disabled pe ~ons~~~ area? <br />