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www.skokievoice.

org

Lets build a unified community together!

Skokie Voice
MEMBERSHIP FORM
Name ________________________________________
Address __________________________ Zip code ______
E-mail _______________________________________
Phone ________________________________________
________________________________
signature
Membership options:
Individual membership (1 year/$15)
Individual membership (3 years/$36)
Individual membership (lifetime/$100)

_______
date

Business membership (1 year/$25)


Sponsor (1 year/$100)
Patron (1 year/$250 or more)

Please send check or money order (but not cash!) to:

Skokie Voice * P.O. Box 4618 * Skokie, IL 60076

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