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Eiderly and Disabled Consumer Advisory Committee <br />- ---- Membership Application - <br />Page 2 <br />Do you have any rela±ed experience, trainir~~, ar background in elderly or disabied <br />issues that you would like to bring to the Transit Board's attention? <br />Please see attached sheet for response. <br />Are there other community interests in which you are involved (committees, <br />organizations, special activities ? <br />Please see a£tached sYiee for response. <br />You may attach additional sheets, a short resume, or other materials that may be <br />appropriate. Your application will be reviewed by the Transit District Board of <br />Directors. Notice of the date and time of the meeting will be sent to you. <br />Return application to: Clarence Pugh <br />Executive Assistant <br />Salem Area Transit <br />3140 Del Webb Ave NE <br />Salem OR 97303-4165 <br />Thanks for your interest in Salem Transit! <br />72 <br />