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Membership Application-Please print this page and mail with you payment.

BECOME A MEMBER OF National Organization for Women


NORTH PALM BEACH CO. CHAPTER #FL0355


Name: ____________________________Date________________

Address: ______________________________________________

City, State, Zip: ________________________________________

Phone: __________________ Email: _______________________

National, State and Local Dues:

$35 Regular dues:

$20-$34 Special Need (Sliding Scale Rate)


Make check payable to: NOW/National Organization for Women


Send to:

North Palm Beach County NOW
c/o Shirley Y. Herman
2600 North Flagler Drive #207
West Palm Beach, Fl. 33407

Thank you for your support. You will receive materials from the National organization eventually.

   
  5/29/07