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Mercer County Human Relations Council

Membership Form

Name

Phone Number

Email

Address

List other organizations


that you belong to (optional)
Circle Membership type Active (remit annual dues and serve on a committee)
Supporting (no dues, receive email notices)
Active Membership Membership, Publicity, Bylaws, Website, Photography,
Circle Committee preferences Fundraising, Finance
Annual Dues $15.00

Date Joined

Date Membership Expires

Membership Signature*

Authorized Signature

Receipt will be mailed to Active Members.

* Signature indicates agreement with membership type selected.

MISSION STATEMENT
The Mercer County Human Relations Council shall serve as a forum to eradicate destructive bias and
prejudice within the Mercer County community.

The primary goals shall be to provide education and information, support positive human relations
events and activities, as well as promote and advertise best practices related to these efforts so that
people of diverse backgrounds are able to achieve the highest possible degree of success.

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