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): _____________________________

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Please mail (with your check) to: Chicago NOW, 200 N. Michigan, #400, Chicago, IL 60601