To
become a member of our dynamic and growing chapter, print and fill out
this form and mail it in (with a check payable to Chicago NOW for $40).
Help
us make history--and improve the lives of women and girls in Chicago!
Name
_____________________________________________________________________________________________
Address
_____________________________________________________________________________________________
City/State/Zip
_____________________________________________________________________________________________
Phone
_____________________________________________________________________________________________
Fax
_____________________________________________________________________________________________
Email
_____________________________________________________________________________________________
I
am interested in (circle one) :
Political Issues Violence Issues Media Issues
Reproductive Rights Other (please specify): _____________________________
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Please mail (with your check) to: Chicago NOW, 200 N. Michigan, #400, Chicago, IL 60601