MEMBERSHIP APPLICATION

Please note: RSA membership dues are based on a calendar year (January - December)
1. CHECK ONE

New Account
Associate Member
Transfer of Ownership
Coop
2. PROPERTY INFORMATION  (For Regular Membership)
 Street Address:
 Boro/Town:    
 City:         
 State:  Zip:
Total Apartments in Building:       Stabilized Apartments:  
MDR #:       BLOCK #:      LOT #:  
3. AGENT INFORMATION  (Address for Mailing Purposes)
Name:         
 Company:      
 Title:        
 Address:      
City:          State:  Zip:
 Phone:        
 Fax:          
 Email address:
4. ASSOCIATE MEMBER or OWNER INFORMATION  (If different from above)
Name:          
 Company:
 Title:        
 Address:      
City:          State:  Zip:
 Phone:        
Fax:          
 Email address:
5. ADDITIONAL COMMENTS:

Please email, fax or print this application to RSA.  Associate Members: Please include check or money order payable to RSA in the amount of $100; Regular Membership: Do not include payment.  You will receive a membership statement in the mail based on $4.50 per apartment, $75 per minimum per building.

If you e-mail this application to RSA, we will send you a bill for your annual membership dues and voluntary PAC and Legal Fund contributions. Thank you. 

We appreciate your membership and support of the RSA.

*

Rent Stabilization Association of NYC, Inc.
123 William Street New York, NY 10038-3804 Tel: (212) 214-9200 Fax: (212) 732-0618