Join NOW!

Don't forget you can email sara_mana_now@yahoo.com to send this form to you or

Yes, count me in! I'm enclosing a membership contribution to help NOW secure equality and fair treatment for all women.

First Name                         Last Name

Address

City                             State       Zip           Country

Daytime Phone                      FAX

Evening Phone                      E-Mail

Please affiliate me with NOW chapter coded 0345.


Check One:
__ Regular Dues. $35 covers national, state and local dues. Any additional gift is greatly 
appreciated.
__ Reduced Dues.  Sliding scale available from $15 to $34.
__ Lifetime membership: $1000

Please send me information about:
__How to start a chapter in my area or on my campus

Signature

If paying by check, print and mail this form to Sara-Mana NOW, P. O. Box 2972, Sarasota, FL 34230

Visit our web site: http://erights4all.com/now/sarasota-manateenow/

Other ways you can support NOW and the NOW Foundation

JVB/DRBD 20-Nov-2005