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:
 
Women's Intercultural Network (WIN) Membership Form
   

ANNUAL MEMBERSHIP

Annual Sustaining $500 ___
Global Circle $100___
Friends of WIN $50___
Unemployed $25___
Student $20 ___
Jr. Ambassador (1 to 20yr.) $10__

SPECIAL MEMBERSHIPS

Founders Circle $100___$250___$500___
Institutional (universities, non-profits) $150__ Family Foundation $1000___ $2,500___$5,000___
Corporate $500___$,1000 ___$2,500___ $5,000___
Angel Donor (individual, life-time) $5,000____

 

Individual Member's Name ______________________________________________________

Organization _________________________________________________________________

Institution or Company _________________________________________________________

Address ____________________________________________________________________

___________________________________________________________________________

City _________________________ State/Province _________ Zip/Postal Code ___________

Country ___________________________________________

Telephone: Mobile: _______________________ Office/Home: _______________________
Fax _______________________

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_______

 

 

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