You are on page 1of 1

Join or Donate to:

Drug Policy Forum of Oklahoma / Drug Policy Reform Network of Oklahoma


One of the best ways to support our mission of drug policy reform is to become a
contributing member.
Mail the form below or go to our online membership/contribution form at
http://dpfok.org/donations.html
----------------------------------------------------------------------------------
----------------------------------------------
Please complete the requested information and mail with membership fee and/or
contribution
Please remember to check the appropriate line(s) below.
Anonymous contributions are great. We accept check, money order or cash.
Please take steps to conceal any cash sent.
Name __________________________________________
Address________________________________________
City____________________ St.________________ Zip ______________
Phone ____________________ E-mail _______________________________
#_____ full membership ($10)
*LARGER DONATIONS ARE NEEDED & APPRECIATED
I wish to contribute to The Drug Policy Reform Network of Oklahoma (to be used for
direct political
action) $____
I wish to make an additional contribution of: $10 ___ $20 ___ $50 ___ other _____
I am paying by: check ___ money-order ___ cash ___
Total enclosed $_________________
----------------------------------------------------------------------------------
----------------------------------------------
Make checks or money orders payable to: Drug Policy Forum of Oklahoma or Drug
Policy Reform
Network of Oklahoma
Mail to: Drug Policy Forum of Oklahoma, DPFOK, P.O. BOX 10641, Midwest City, OK
73140
*All memberships include a full year of our newsletter.
*All $ go to the ongoing mission of drug policy reform.
* The Drug Policy Forum of Oklahoma (DPFOK) is a non-profit 501-C-4 Public
education organization.
* The Drug Policy Reform Network of Oklahoma (DPRNOK) is a 501-C-4 Political
action organization.
* Donations to 501-C-4 non-profit organizations are not Tax Deductible.
As Always thanks for your donation and or membership fee.

You might also like