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I would like to be a member:
[ ] Renew
Membership [ ] New Member
[ ] $35
Individual [ ] $75 Sustaining
[ ] $150
Sponsor
[ ] $750
Life (May be made in two payments)
[ ] I would like to
make a special contribution toward GA 2008 presence of
Olympia Brown and Antoinette Blackwell
$_____
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I would like to give a gift
membership to:
Name________________________________
Address
City, State, Zip
____________________________
Phone ( )-( )-( )_________________
E-Mail____________________________________
[ ] $35 Individual
[ ] $75 Sustaining
[ ] $150 Sponsor
[ ] $750 Life (May be made in two payments)
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I would like to assist in
the work of the UUWHS:
[ ] I would like to
work at the booth at GA.
[ ] I would like to
share information abut my ongoing work on a Universalist or
Unitarian woman:
Name:
You may send
information on with this letter or via e-mail at uuwhs@uuwhs.org
[ ] I would like to
be considered for a position on the Board. (Meetings are via
conference calls.)
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would like to order a
Unitarian and Universalist Women: Liberating History
Cost per book is $20
(Handling/postage
charge of $6 for first book and $3per additional book. For books
sold at GA, handling and postage will be waived.)
# books ordered ______
x $20 each is $________ + Postage $________ = Total (enter in
Summary)
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Your Name___________________________
Address___________________________________
City, State, Zip
____________________________
Phone ( )-( )-( )
E-mail ___________________________________
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Summary of contributions:
Own membership
$________
Contribution for GA
2008 $________
Gift membership
$________
Order of book
$________
Total enclosed:
$________
[ ] Check payable
to UUWHS.
Mail this form and
application and check to:
UU Women’s
Heritage Society
At Bethany
Union
256 Newbury St, Boston, MA 02116
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