National
Organization    
for Women 		Join NOW
MEMBERSHIP APPLICATION
National Organization for Women

National Dues:$35 national dues (includes state and local dues);
sliding scale of $15 to $34 may be paid by those who can
not afford to pay more; scholarship payment of dues is also available

_________________________________________________________
Name

_________________________________________________________
Address              City              State              Zip

_________________________________________________________
Phone, day                  Phone, evening                  Email

$________ amount enclosed

I am interested in the following task forces:

[_] Fund Raising
[_] Women's Health
[_] ERA
[_] Public Relations 		[_] Lesbian Rights
[_] Education
[_] Reproductive Rights
[_] Employment / Job Discriminition
[_] Women of Color
[_] Violence Against Women & Children

Mail to:

Greater Cleveland NOW
107 ½ Arizona Ave.
Lorain OH 44052
440-288-2251

You will be placed on our mailing list and will receive our newsletter detailing upcoming events and meetings. Hope to see you soon!