Donate NOW! and help us give all women a voice –a key strategy toward full participation in democracy
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Download Pledge form HERE! | ||||
Or print and send us the membership form with your pledge: | ||||
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Women's
Intercultural Network (WIN) Membership Form |
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Individual Member's Name ______________________________________________________ Organization _________________________________________________________________ Institution or Company _________________________________________________________ Address ____________________________________________________________________ ___________________________________________________________________________ City _________________________ State/Province _________ Zip/Postal Code ___________ Country ___________________________________________ Telephone: Mobile: _______________________
Office/Home: _______________________
Email Address ________________________________ Website __________________________ I want to sign up for information & action alerts for: California ___ National _____ Global ____ 5th World Conference on Women ____
My priority issues are (1) _______________ (2)_________________ (3)________________
I will pay on PayPal on-line at: http://win-cawa.org/donateWIN.html _____ (you do not need to have an account at PayPal, only a Visa or Mastercard) (if you donate over $100 from your bank account the charge will only be $5.00 for any amount) I will tithe $ ____ monthly____quarterly_____bi-annually____ Please remind me _____ Please charge my membership donation: MasterCard ___Visa ____ Expiration Date:_______________
Card Number ____________________________CVV2# ( last 3 digits on back of card)______
Cardholder's Name_________________________________________________________
Cardholder's Signature______________________________________________________ Please email me a Delegate Application and information about UN CSW, 56th Session, March, 2012_______
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Mail your tax deductible donation to: WIN, 1950 Hayes St. #2, San Francisco, CA 94117 USA
or download and fax your credit card information to 415- 373-3932, • WIN TAX ID#94-3204314
For information: Phone 415-221-4841 • e-mail:[email protected] • web: www.win-cawa.org
THANK YOU FOR GIVING WOMEN AND GIRLS A VOICE IN THEIR DEMOCRACY & ECONOMY