MEMBERSHIP APPLICATION**

Our vision:  to empower women to take feminist action to effect feminist social change.

Our top five priorities:  ERA, economic justice, lesbian rights, reproductive freedom, eliminating racism..

NAME: (Please PRINT) __________________________________ PHONE _____________________

ADDRESS: ____________________________________ E-MAIL ____________________________

CITY: ______________________________________STATE __________ ZIP __________________

Sign me up for (a) Greater Bangor NOW _____ (b) Greater Portland NOW _____ (c) At-large _____

Dues rate includes membership at the national, state and, if chosen, local level.

$ __________ dues enclosed.  $35.00 regular dues.  A sliding scale of $20.00 -$34.00 is available, if needed.   Print page and send, along with your check made payable to Maine NOW, to Maine NOW, 665 Saco Street, Box 172, Westbrook, ME  04092.

**Membership application is for new members only.  If you are renewing OR reinstating a recent lapse in membership, please send your renewal to NOW, 1100 H Street, NW, 3rd floor, Washington, DC  20005. Please be sure to include your membership number from your mailing label. 


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