Enclosed is my check for:
___ $35* ___ $50 ___ $75 ___ $125 ___ Other
*(please give this amount or more if you possibly can)
Member Information
Name:___________________________________
Address:_________________________________
City:__________________________ State:_____
Zip:________________
Home phone: (_____)________________
Office phone: (_____)________________
E-mail:____________________________
Your dues include:
- A one-year membership to both the West Virginia and National ACLU
- Subscriptions to State and National ACLU newsletters.
Make checks payable to the ACLU of West Virginia. Membership dues, which support the Union's lobbying work, are NOT tax deductible as charitable contributions.
Please mail your check with this printed form to:
ACLU of West Virginia
P.O. Box 3952
Charleston, WV 25339-3952
