 Count Me In! I wish to join
NOW and commit myself to take action to bring women into full participation
in the mainstream of American society now, exercising all privileges and
responsibilities thereof in truly equal partnership with men.
NAME _________________________________ PHONE ( _____ ) ______________
ADDRESS ____________________________________________________________
CITY __________________________________ STATE ______ ZIP ______________
E-MAIL ADDRESS _________________________
VOLUNTEER - Please check all areas of interest
__ Answering NOW Telephone* __ Phone/Outreach __ Write articles for publication
__ Demonstrations/Protests __ Fund raising __ Mailings __ Lobbying
__ Escort SAT AM Other (please specify
_____________________________________________________________
*Answering NOW Telephone:
When are you available to volunteer? Please circle all that apply
Daytime: M T W Th F Sat Sun
Evening: M T W Th F Sat Sun
In what areas would You like to lead Westchester NOW to become more active?
_____________________________________________________________
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National, State and Local Dues:
$40 Regular Dues
$25-39 Reduced Dues
Amount Enclosed: ________
Make checks payable to "Westchester NOW." Print out this form,
complete all sections, and send to:
Westchester NOW
c/o Deborah Zipf, Treasurer
10 Stewart Place, PH-AE
White Plains, N.Y. 10603
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