Please print this:Yes, I want to support Peace Action Maine Name: ________________________________________
Address: ______________________________________
Home Telephone: __________________
Work Telephone: ____________________
E-mail Address: ________________________
High School Student $10 _____ University Student $20 _____ Individual Membershp $35 _____ Family Membership $50 _____ Peace Supporters $100 _____ Peace Nurturers $250 _____ Peace Workers $500 _____ Peace Makers $1,000 _____ [$__________ ] is enclosed.
Charge my credit card: ____Visa; ____MC; ____Amex
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Expiration Date__________________________________________________
Membership applies through May of the following year. Benefits include the quarterly Peace Talk newsletter and membership in national Peace Action.
[ ] Do not share my name with other peace and justice groups.
20/20 Vision - Busy people taking action for peace and the environment: For dues of $100 or more, we would like to send you a complimentary "20/20." subscription. If you prefer not to have this, please check here:
Because Peace Action Maine is committed to representing people of all economic means, membership and subscription to Peace Talk and 20/20 are available for whatever you can afford.
[ ] No 20/20Please mail to: Peace Action Maine
P.O. Box 3842
Portland, ME 04104-3842