Social Democrats, USA

SOCIAL DEMOCRATS, USA


<b>SOCIAL DEMOCRATS, USA CONTRIBUTION FORM</b>

CONTRIBUTION FORM


____ I want to contribute to Social Democrats, USA

____ I want to become a member of Social Democrats, USA



Enclosed is my contribution of _____ $60.00 _____$120.00 _____ $180.00 $_____ other


NAME_____________________________________________________________________________________________

TITLE___________________________________________________________________________________________

ORGANIZATION___________________________________________________________________________________

ADDRESS_________________________________________________________________________________________

CITY________________________________________________ STATE_________________ ZIP___________________

PHONE____________________________________________ E-MAIL_________________________________________


Please make contributions payable to Social Democrats, USA and mail to:
P O Box 5288
Johnstown, PA 15904-5288

 

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