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

First Name                         Last Name

Address

City                             State       Zip           Country

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:
P.O. Box 531
Techny, IL 60082

Phone:

(815) 717-9833

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