YES! I want to join the National Women's Political Caucus, Marin Chapter.
Enclosed is my check for annual dues, which entitles me to full voting
membership and receipt of national, state, and local newsletters.
____ - $ _____Sliding scale for students and seniors ($20.00 minimum
____ - $70.00 Regular membership<BR>
____ - $100.00 Supporter<BR>
____ - $150.00 Sponsor<BR>
Name: ______________________________________________________________________
Address: ____________________________________________________________________
____________________________________________________________________________
Phone (day): _________________________________________________________________

Phone (night): ________________________________________________________________
E Mail: ______________________________________________________________________
Please list any special skills and/or interest you would like to contribute:
____________________________________________________________
____________________________________________________________
____________________________________________________________

Please send check made out to

NWPC - MC
P.O. Box 113,
Kentfield, California 94914

Email to: gbrewer495@aol.com