| 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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