REMIT YOUR DUES
RENEW YOUR MEMBERSHIP
ON THIS FORM
TODAY!
I ENCLOSE MY DUES _$
_____________ DATE_________________
REGULAR MEMBER: $20FAMILY $30SUSTAINING MEMBER $35 and up** REDUCED INCOME: $15 LOW INCOME $10*
* NO ONE IS DENIED MEMBERSHIP BECAUSE OF INABILITY TO PAY
** SUSTAINING CONTRIBUTIONS ARE USED TO SUPPLEMENT LOW-INCOME MEMBERS
ALL CONTRIBUTIONS TO GRAY PANTHERS ARE TAX DEDUCTIBLE NAME:_______________________________________________________ _ ADDRESS:_____________________________________________________
TELEPHONE:____________________________ PLEASE MAKE CHECKS PAYABLE TO
GRAY PANTHERS OF METROPOLITAN WASHINGTON
755 EIGHTH STREET
NW
WASHINGTON, D.C.
20001
