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Women's Lobby of Colorado Membership Form
Name: ________________________________________________________
Organization (if applicable): _______________________________________ Legal Address (voting address): ____________________________________ Mailing Address (if different): _____________________________________ City: ______________________ State: _______ Zip: ______________ Phone(h): _________________________ (w): ________________________ Fax: _____________________________ E-mail: _______________________________________________________ Website (if any): _______________________________________________ Party Affiliation (if any) ____________________________ State Senate District # ______________________________ State House District # ______________________________ State Senator: ____________________________________ State Representative: ______________________________ Individual Member $30 $50 $100 Organizational Member $100 $_______
Please make checks payable to:
Women's Lobby of Colorado PO Box 300423 Denver, CO. 80203-0423 Phone: (303) 592-3988 or toll free 1-888-33-LOBBY Email: womenslobby@hotmail.com The Women's Lobby is a 501 (4) organization. Your donation is not tax-deductible because we lobby. Thank you for your financial support. The lobby is funded entirely by individual and organizational contributions like yours. As a volunteer organization, we really appreciate your help. |