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Yes, count me in! I'm enclosing a membership contribution to help Illinois Northwest Suburban NOW chapter help ensure  equality and fair treatment for all women.

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Address

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Daytime Phone                      FAX

Evening Phone                      E-Mail

Check One: __ Regular Dues. $40 covers national, state and local dues;   Any additional gift is greatly  appreciated.

__ Reduced Dues.  Sliding scale available from $15 to $34.

__ Lifetime membership: $1000

Print and mail this form to:
NOW Membership,
P.O. Box 784,
Arlington Heights, IL 60006

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